Individual
MR. DANIEL BROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
Mailing address
360 SCHAUBER RD, BALLSTON LAKE, NY 12019-2106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011965
NY
Other
Enumeration date
02/21/2007
Last updated
04/30/2015
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