Provider Demographics
NPI:1013295039
Name:REAM, DANIEL C (DPT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:REAM
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9053 ESTATE THOMAS
Mailing Address - Street 2:ROYAL PALMS STE 206
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-1242
Mailing Address - Country:US
Mailing Address - Phone:340-779-9355
Mailing Address - Fax:340-779-9350
Practice Address - Street 1:9053 ESTATE THOMAS
Practice Address - Street 2:ROYAL PALMS STE 206
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1242
Practice Address - Country:US
Practice Address - Phone:340-779-9355
Practice Address - Fax:340-779-9350
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011018161225100000X
VI189225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist