Provider Demographics
NPI:1376818351
Name:BARRETO, DANIELA LUISA (DPT)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:LUISA
Last Name:BARRETO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 FLOWER RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1742
Mailing Address - Country:US
Mailing Address - Phone:516-314-2847
Mailing Address - Fax:
Practice Address - Street 1:17 FLOWER RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1742
Practice Address - Country:US
Practice Address - Phone:516-314-2847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033094225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist