Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT14149 | FL |
N | 2251N0400X | Physical Therapist - Neurology | PT14149 | FL |
NPI | 1538100367 |
---|---|
Provider Name | Dr. Barbara Darkangelo |
First Address | Riverview, FL 33569-6318 |
Second Address | Tampa, FL 33612-4745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 08/07/2007 |