Provider Demographics
NPI:1033433081
Name:JOSEPH, DARIA VALERIEVNA (PT)
Entity Type:Individual
Prefix:MISS
First Name:DARIA
Middle Name:VALERIEVNA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PT
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Other - First Name:
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Mailing Address - Street 1:18070 S TAMIAMI TRL
Mailing Address - Street 2:STE 15
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4602
Mailing Address - Country:US
Mailing Address - Phone:239-344-4448
Mailing Address - Fax:239-344-4449
Practice Address - Street 1:15620 MCGREGOR BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-2528
Practice Address - Country:US
Practice Address - Phone:239-454-6262
Practice Address - Fax:239-454-0350
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT25405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist