Individual
MR. PAUL DAENTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 MENOMONIE ST APT 2, EAU CLAIRE, WI 54703-6286
(952) 484-9718
Mailing address
1704 MENOMONIE ST APT 2, EAU CLAIRE, WI 54703-6286
(952) 484-9718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1938
WI
225200000X
Physical Therapy Assistant
A901
MN
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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