Individual
MR. DANIEL JACOB SURBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2315 NC HIGHWAY 242 N, BENSON, NC 27504-7820
(919) 207-1717
Mailing address
2918 LAKE JAMES DR, FUQUAY VARINA, NC 27526-3919
(919) 762-2129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4767
NC
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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