Doctor Name: | MARK ANDREW MCDANIEL |
NPI Number: | 1659671030 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT,DPT,CSCS |
License Number: | 5501015417 |
Business Practice Address: | 2251 N Squirrel Rd Ste 301 Auburn Hills, MI - 483264600 |
Business Phone Number: | 2486814206 |
Business Fax Number: | 2486815798 |
Mailing Address: | 2251 N Squirrel Rd, Ste 301 AUBURN HILLS |
State: | MI |
Postal Code: | 483264600 |
Phone Number: | 2486814206 |
Fax Number: | 2486815798 |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501015417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |