Provider Demographics
NPI:1124061312
Name:MCFARLAND, VIRGINIA GAGLIONE (PT)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:GAGLIONE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-6013
Mailing Address - Country:US
Mailing Address - Phone:386-740-9802
Mailing Address - Fax:
Practice Address - Street 1:1020 MASON AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-4612
Practice Address - Country:US
Practice Address - Phone:386-253-0524
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 2529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist