Provider Demographics
NPI:1003939679
Name:DANACEAU, DEBORAH F (PT)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:F
Last Name:DANACEAU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:CECIL
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1209 DALEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-1538
Mailing Address - Country:US
Mailing Address - Phone:703-556-8785
Mailing Address - Fax:703-893-7699
Practice Address - Street 1:525 E MARKET ST
Practice Address - Street 2:SUITE B
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4171
Practice Address - Country:US
Practice Address - Phone:703-443-6700
Practice Address - Fax:703-443-6702
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305000753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist