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Individual

DR. DANIEL A LIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
6290 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-1917
(954) 302-8746
Mailing address
1518 WHITEHALL DR APT 304, DAVIE, FL 33324-6637
(954) 661-3729

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37573
FL

Other

Enumeration date
08/17/2021
Last updated
08/17/2021
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