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Individual

MR. NICHOLAS A DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
6500 CREEDMOOR RD, SUITE 208, RALEIGH, NC 27613-3697
(919) 676-2001
(919) 676-0023
Mailing address
6500 CREEDMOOR RD, SUITE 208, RALEIGH, NC 27613-3697
(919) 676-2001
(919) 676-0023

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5544
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5544
PHYSICAL THERAPY ASSISTANT
NC
Enumeration date
11/13/2015
Last updated
11/13/2015
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