Individual
MR. DANIEL CHESLEY KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
(951) 769-2135
(951) 769-2136
Mailing address
22597 WESTLAKE DR, MORENO VALLEY, CA 92553-6439
(951) 656-9172
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
PT23836
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT23836
CA
Other
Enumeration date
01/17/2007
Last updated
01/23/2008
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