Doctor Name: | DANIEL REYNOLDS |
NPI Number: | 1699982025 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 21944 |
Business Practice Address: | 8725 N Wickham Rd Suite 301 Melbourne, FL - 329405997 |
Business Phone Number: | 3214349200 |
Business Fax Number: | 3214349203 |
Mailing Address: | 1764 Ficus Point Dr, MELBOURNE |
State: | FL |
Postal Code: | 329401538 |
Phone Number: | 3214349200 |
Fax Number: | 3214349203 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 05/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |