Individual
MR. DANIEL JAMES CRESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1126 S 70TH ST, SUITE S305B, WEST ALLIS, WI 53214-3151
(414) 456-2332
(414) 456-2339
Mailing address
1126 S 70TH ST, SUITE S305B, WEST ALLIS, WI 53214-3151
(414) 456-2332
(414) 456-2339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3186
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40107700
—
WI
Enumeration date
05/14/2008
Last updated
05/14/2008
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