Individual
DANIEL SUKU JEZREEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3122 ARGENTO PL, CEDAR PARK, TX 78613-4357
(512) 516-3466
(855) 855-5188
Mailing address
3122 ARGENTO PL, CEDAR PARK, TX 78613-4357
(512) 516-3466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009156A
IN
2251G0304X
Geriatric Physical Therapist
1273600
TX
Other
Enumeration date
09/20/2012
Last updated
12/14/2020
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