Individual
DANIEL AVILA MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
702 THORNDALE AVE, CROOKSTON, MN 56716-1147
(831) 262-8728
Mailing address
702 THORNDALE AVE, CROOKSTON, MN 56716-1147
(831) 262-8728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41195
CA
225100000X
Physical Therapist
9513
MN
Other
Enumeration date
03/01/2016
Last updated
12/08/2016
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