Individual
DESHAWN DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
2059 EAST 55TH STREET, BROOKLYN, NY 11234-4716
(718) 744-5175
Mailing address
2059 E 55TH ST, BROOKLYN, NY 11234-4716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009506
NY
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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