Individual
DEJUAN J. DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
8811 HWY 65 SOUTH, DUMAS, AR 71639-0887
(870) 382-4818
(870) 382-1048
Mailing address
PO BOX 887, DUMAS, AR 71639-0887
(870) 382-4818
(870) 382-1048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2740
AR
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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