Individual
DANIEL WESLEY WILLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
870 GORDON NAGLE TRL STE 100, POTTSVILLE, PA 17901-4203
(570) 399-5331
(570) 399-5374
Mailing address
430 INNOVATION DR, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT026091
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019541330001
—
PA
Enumeration date
07/06/2017
Last updated
02/21/2023
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