Individual
MR. DANJUN PAET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4828 GATWICK DR, VIRGINIA BEACH, VA 23462-6437
(757) 434-9440
Mailing address
4828 GATWICK DR, VIRGINIA BEACH, VA 23462-6437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602507
VA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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