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Individual

DANNY JACOB KANIYALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1923 N WESTERN AVE, CHICAGO, IL 60647-4322
(773) 492-3880
(773) 492-3881
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024508
IL

Other

Enumeration date
08/16/2019
Last updated
01/05/2026
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