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NPI Code Detail

MEDICARE: DR. DARRYL FLOUD PT, DPT

MEDICARE: DR. DARRYL FLOUD 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
1225100000XPhysical TherapistP19913NC
2225100000XPhysical Therapist2305215438VA

General Provider Information

NPI Number : 1619576055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARRYL FLOUD PT, DPT
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number : 914-294-4050
Fax Number :
Provider Business Practice Location Address
First Line : 70 JEFFERSON CT STE 102
Second Line :
City : ZION CROSSROADS
State : VA
Zip : 22942-9604
Country : US
Telephone Number : 540-832-3061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2020
Last Update Date : 10/06/2023

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