Provider Demographics
NPI:1073899027
Name:ZHAO, DAISY (DC)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1836
Mailing Address - Country:US
Mailing Address - Phone:267-253-5931
Mailing Address - Fax:
Practice Address - Street 1:579 GRANT ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1836
Practice Address - Country:US
Practice Address - Phone:267-253-5931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-21
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29111111N00000X
PADC009071111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor