Individual
DANIEL GOOLD MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205500
VA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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