Individual
DANA A DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2611 PLAZA PKWY, SUITE 302, WICHITA FALLS, TX 76308-3886
(940) 691-1114
(940) 691-1125
Mailing address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 322-0771
(940) 767-4943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1039162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048698
BCBS BLUE LINK NUMBER
TX
01
—
8T0338
BLUE CROSS BLUE SHIELD ID
TX
Enumeration date
10/25/2006
Last updated
09/19/2007
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