Individual
MR. STEPHEN ERNEST DAISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
7007 LANKFORD HWY, OAK HALL, VA 23416-2223
(757) 854-0500
(757) 854-0545
Mailing address
PO BOX 396, ATLANTIC, VA 23303-0396
(757) 854-0500
(757) 854-0545
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305204289
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10008313
SENTARA/OPTIMA
VA
01
—
195578
ANTHEM BCBS
VA
01
—
203535898
CIGNA
VA
01
—
5102853
MAMSI, UNITED HEALTHCARE
VA
Enumeration date
10/10/2006
Last updated
11/06/2012
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