Individual
DEE-DEE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2233 S KANAWHA ST, BECKLEY, WV 25801-6719
(304) 255-9248
(304) 255-9237
Mailing address
2233 S KANAWHA ST, BECKLEY, WV 25801-6719
(304) 255-9248
(304) 255-9237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
323
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1302443
UMWA
WV
05
—
9420001
—
WV
Enumeration date
01/15/2007
Last updated
01/15/2010
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