Provider Demographics
NPI:1043337124
Name:HOCTOR, DANIEL K (PT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:K
Last Name:HOCTOR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 ARMORY DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-2452
Mailing Address - Country:US
Mailing Address - Phone:757-562-0990
Mailing Address - Fax:757-562-0496
Practice Address - Street 1:1580 ARMORY DR
Practice Address - Street 2:SUITE B
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-2452
Practice Address - Country:US
Practice Address - Phone:757-562-0990
Practice Address - Fax:757-562-0496
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305201729225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4979699Medicaid
VA496636Medicare ID - Type Unspecified