Individual
DANIEL MARK VENHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
304 W EVERGREEN AVE STE 101, PALMER, AK 99645-6970
(907) 745-8686
Mailing address
PO BOX 672521, CHUGIAK, AK 99567-2521
(316) 435-3578
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
147322
AK
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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