Individual
CRISPIN HIPOS DANLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
350 S RIDGEWOOD AVE, ORMOND BEACH, FL 32174-7028
(386) 677-4545
Mailing address
503 CROWNE SUNSET DR, APT. 1323, ORMOND BEACH, FL 32174-0666
(407) 288-3061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22542
FL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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