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Individual
DANIEL VU
Active
Individual
DANIEL VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320325
GROUP NPI
—
01
—
297150
CA STATE PT LICENSE
CA
01
—
ZZZ29361Z
MEDICARE GROUP PTAN
—
Enumeration date
11/26/2019
Last updated
11/26/2019
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