Individual
DANIEL TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10373
TN
225100000X
Physical Therapist
Primary
10861
CT
225100000X
Physical Therapist
40QA01386100
NJ
Other
Enumeration date
02/11/2011
Last updated
03/01/2023
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