Individual
STANLEY DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-6030
Mailing address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-6030
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01521100
NJ
Other
Enumeration date
09/09/2013
Last updated
06/30/2020
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