National Provider Identifier

Starla Deaton Ford Daniels, PT, DPT, PCS

Starla Deaton Ford Daniels, PT, DPT, PCS is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1922318849Fairport, NYPhysical Therapist

Profile Overview

NPI
1922318849
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 13, 2010
Last Updated
July 31, 2018

Practice Location

  • 149 N Main St
  • Fairport, NY 14450

Phone: (585) 377-2230

Mailing Address

  • 183 Shelbourne RD
  • Rochester, NY 14620-4532

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1922318849
Entity Type
Individual
Last Name
Ford Daniels
First Name
Starla
Middle Name
Deaton
Name Prefix
Dr.
Credential
PT, DPT, PCS
Mailing Street Address
183 Shelbourne RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4532
Mailing Country
US
Mailing Phone
(770) 845-8085
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 377-2230
Practice Fax
(585) 377-2243
Enumeration Date
October 13, 2010
Last Updated
July 31, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)