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Individual
DANIEL TITUS CHEN
Active
Individual
DANIEL TITUS CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320325
TYPE2 NPI
—
01
—
ZZZ29361Z
MC GROUP PTAN
—
Enumeration date
06/02/2022
Last updated
06/22/2022
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