Individual
JAY R DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
970 HILLTOP DR, WEATHERFORD, TX 76086-5488
(817) 599-0000
Mailing address
9329 JASON CT, WHITE SETTLEMENT, TX 76108-3560
(817) 629-8811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2121491
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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