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NPI Code Detail

MEDICARE: VICTORIA DANIELS PTA

MEDICARE:   VICTORIA  DANIELS  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTA22407

General Provider Information

NPI Number : 1487312476
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA DANIELS PTA
Provider Business Mailing Address
First Line : 3311 97TH LN E
Second Line :
City : PALMETTO
State : FL
Zip : 34221-8012
Country : US
Telephone Number : 941-224-2346
Fax Number :
Provider Business Practice Location Address
First Line : 3311 97TH LN E
Second Line :
City : PALMETTO
State : FL
Zip : 34221-8012
Country : US
Telephone Number : 941-224-2346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2021
Last Update Date : 03/18/2026

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Directions to “ VICTORIA DANIELS PTA” Practice Location

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