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MR. RICHARD JOHN DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1538 MORRIS, LINCOLN PARK, MI 48146
(313) 386-6725
Mailing address
1538 MORRIS AVE, LINCOLN PARK, MI 48146-1545
(313) 386-6725

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000369
MI

Other

Enumeration date
04/11/2012
Last updated
04/11/2012
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