Provider Demographics
NPI:1932255700
Name:DOURNEY, DANIEL VINCENT (PT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:VINCENT
Last Name:DOURNEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 TURKEY POINT DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32934-8533
Mailing Address - Country:US
Mailing Address - Phone:321-253-4076
Mailing Address - Fax:321-752-7797
Practice Address - Street 1:3924 TURKEY POINT DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32934-8533
Practice Address - Country:US
Practice Address - Phone:321-253-4076
Practice Address - Fax:321-752-7797
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT0002855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist