Provider Demographics
NPI:1124137799
Name:DAMBRAUSKAS, DANA (MSPT)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:DAMBRAUSKAS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2457 NORTHUMBRIA DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-6494
Mailing Address - Country:US
Mailing Address - Phone:407-446-2328
Mailing Address - Fax:
Practice Address - Street 1:2457 NORTHUMBRIA DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6494
Practice Address - Country:US
Practice Address - Phone:407-446-2328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT20372OtherLICENSE #