Provider Demographics
NPI:1770197253
Name:MCDANIEL, ZOE (DPT)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ZOE
Other - Middle Name:
Other - Last Name:FLATTMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:
Practice Address - Street 1:3654 AIRPORT BLVD STE H
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1616
Practice Address - Country:US
Practice Address - Phone:251-544-1050
Practice Address - Fax:251-544-1051
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9919225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist