Provider Demographics
NPI:1184177420
Name:DEVENY, DANIEL D II (DPT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:D
Last Name:DEVENY
Suffix:II
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 W PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5325
Mailing Address - Country:US
Mailing Address - Phone:850-285-6185
Mailing Address - Fax:850-285-2580
Practice Address - Street 1:2410 W PLAZA DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5325
Practice Address - Country:US
Practice Address - Phone:850-285-6185
Practice Address - Fax:850-285-2580
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT31778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist