Individual
DANIEL MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6121 MONTROSE RD, ROCKVILLE, MD 20852-4803
(301) 770-8366
Mailing address
3827 SPRUELL DR, KENSINGTON, MD 20895-1340
(240) 994-5472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4514
MD
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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