Individual
MR. DANIEL IAN MUSHINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4764 BEACON PARK LN., WALKERTOWN, NC 27051
(336) 688-1138
Mailing address
4764 BEACON PARK LN., WALKERTOWN, NC 27051
(336) 688-1138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
560
NC
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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