MEDICARE: DANIELLE ANN FERRON PT, DPT

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
1	225100000X	Physical Therapist	2305202909	VA

General Provider Information

NPI Number	:	1205618972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE ANN FERRON PT, DPT

Provider Business Mailing Address
First Line	:	1175 SNAPPS MILL RD
Second Line	:
City	:	SPOUT SPRING
State	:	VA
Zip	:	24593-9543
Country	:	US
Telephone Number	:	804-833-2460
Fax Number	:

Provider Business Practice Location Address
First Line	:	1175 SNAPPS MILL RD
Second Line	:
City	:	SPOUT SPRING
State	:	VA
Zip	:	24593-9543
Country	:	US
Telephone Number	:	804-833-2460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/18/2023

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