Individual
MICHAEL DANISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
550 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1494
(386) 257-6362
Mailing address
3837 BOURBON ST, PORT ORANGE, FL 32129-6030
(386) 214-3573
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31067
FL
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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