Doctor Name: | DEJUAN J. DANIEL |
NPI Number: | 1558553800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT 2740 |
Business Practice Address: | 8811 Hwy 65 South Dumas, AR - 716390887 |
Business Phone Number: | 8703824818 |
Business Fax Number: | 8703821048 |
Mailing Address: | Po Box 887, DUMAS |
State: | AR |
Postal Code: | 716390887 |
Phone Number: | 8703824818 |
Fax Number: | 8703821048 |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 2740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |