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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