Individual
MR. DANIEL EDWARD WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
155 GRAY FOX PT, FAYETTEVILLE, GA 30214-3695
(678) 817-1774
(678) 817-1873
Mailing address
155 GRAY FOX PT, FAYETTEVILLE, GA 30214-3695
(678) 817-1774
(678) 817-1873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006100
GA
Other
Enumeration date
11/09/2006
Last updated
07/09/2007
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