Individual
MR. DANIEL JAMES GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1300 S GREEN BAY RD STE 205, MOUNT PLEASANT, WI 53406-4469
(262) 898-3930
(262) 898-3933
Mailing address
1300 S GREEN BAY RD STE 205, MOUNT PLEASANT, WI 53406-4469
(262) 898-3930
(262) 898-3933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11425-24
WI
2251X0800X
Orthopedic Physical Therapist
PT00005165
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027520
—
WI
Enumeration date
07/07/2005
Last updated
07/09/2021
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