Organization
DAISEY PHYSICAL THERAPY AND SPORTS
Active
Organization
DAISEY PHYSICAL THERAPY AND SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ERNEST DAISEY (PHYSICAL THERAPIST)
(757) 854-0500
Entity
Organization
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
261QP2000X
Physical Therapy Clinic/Center
Primary
2305204289
VA
Other
Enumeration date
11/20/2007
Last updated
11/06/2012
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