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Individual

DANIEL J. FICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
21 S PINE ST, HERITAGE MEDICAL CENTER, ELVERSON, PA 19520-9720
(610) 286-0977
(610) 286-0986
Mailing address
430 INNOVATION DRIVE, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006501L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02990801
CAPITAL/KHPC
PA
01
0306737000
INDEPENDENCE BLUE CROSS
PA
01
134938
HEALTH AMER/HEALTH ASSUR.
PA
01
409359
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/16/2006
Last updated
01/14/2015
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