Individual
DANIEL DELACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 827-2929
Mailing address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14869
WI
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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