Individual
DANIEL WIERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16838 E PALISADES BLVD, BLDG B-121, FOUNTAIN HILLS, AZ 85268-3786
(480) 837-2595
(480) 837-2773
Mailing address
9097 E DESERT COVE AVE, STE 110, SCOTTSDALE, AZ 85260-6279
(480) 551-4961
(480) 860-0356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5683
AZ
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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