Doctor Name: | MS. DANIELLE RENE BLACK |
NPI Number: | 1902034085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2305205988 |
Business Practice Address: | 733 Volvo Pkwy Suite 100 Chesapeake, VA - 233201609 |
Business Phone Number: | 7573213383 |
Business Fax Number: | 7573213332 |
Mailing Address: | 230 Clearfield Ave, Suite 124 VIRGINIA BEACH |
State: | VA |
Postal Code: | 234621832 |
Phone Number: | 7573213383 |
Fax Number: | 7573213332 |
NPI Enumeration Date: | 06/26/2009 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305205988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |