Provider Demographics
NPI:1780304345
Name:BROOKS, DAYNA MARIE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:DAYNA
Middle Name:MARIE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:DAYNA
Other - Middle Name:MARIE
Other - Last Name:SEEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7501 NEWLAND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-4134
Mailing Address - Country:US
Mailing Address - Phone:203-558-4417
Mailing Address - Fax:
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4238
Practice Address - Country:US
Practice Address - Phone:215-316-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027180225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist