Doctor Name: | TIMOTHY PAUL D'AVY |
NPI Number: | 1932153707 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT 0003807 |
Business Practice Address: | 53 N Kings Rd Suite A Ormond Beach, FL - 321749519 |
Business Phone Number: | 3866156464 |
Business Fax Number: | 3866151822 |
Mailing Address: | 2366 Salem Dr, DELTONA |
State: | FL |
Postal Code: | 327386237 |
Phone Number: | 3866156464 |
Fax Number: | 3866151822 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 09/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 0003807 |
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 |