Individual
DANIEL BREELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 PROVIDENCE HWY, DEDHAM, MA 02026-6804
(857) 444-1010
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
(857) 444-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25147
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25147
PT LICENSE
MA
Enumeration date
11/12/2020
Last updated
11/12/2020
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