Individual
MR. DANIEL A DURHAM
Active
Individual
MR. DANIEL A DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08856
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327438
ANTHEM BC/BS
OH
01
—
1064339
WORKERS' COMPENSATION
WV
05
—
2516290
—
OH
01
—
542145984
CARELINK COMMERICAL INS
OH
Enumeration date
06/21/2005
Last updated
01/26/2010
Update your record
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