Individual
MR. DAN LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00902500
NJ
2251X0800X
Orthopedic Physical Therapist
40QA00902500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2238845000
AMERIHEALTH
NJ
01
—
2439868
UNITED HEALTHCARE
NJ
01
—
P00162648
RAILROADMCR
NJ
Enumeration date
12/28/2006
Last updated
07/25/2018
Update your record
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