Provider Demographics
NPI:1821161084
Name:STOERMER, DAPHNE CAROL (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:CAROL
Last Name:STOERMER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 OCHO RIOS DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4817
Mailing Address - Country:US
Mailing Address - Phone:925-820-9259
Mailing Address - Fax:925-820-9279
Practice Address - Street 1:925 OCHO RIOS DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4817
Practice Address - Country:US
Practice Address - Phone:925-820-9259
Practice Address - Fax:925-820-9279
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 3243174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist