Provider Demographics
NPI:1003903824
Name:PERKINS, DANIEL W (MEDPT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:W
Last Name:PERKINS
Suffix:
Gender:M
Credentials:MEDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 CORAL CIR
Mailing Address - Street 2:
Mailing Address - City:N FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-5027
Mailing Address - Country:US
Mailing Address - Phone:239-940-8727
Mailing Address - Fax:239-995-7724
Practice Address - Street 1:1828 CORAL CIR
Practice Address - Street 2:
Practice Address - City:N FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-5027
Practice Address - Country:US
Practice Address - Phone:239-940-8727
Practice Address - Fax:239-995-7724
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 2577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist