Individual
AUTUMN M. DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 PROFESSIONAL LN STE B, ENTERPRISE, AL 36330-2392
(334) 393-7500
Mailing address
PO BOX 310067, ENTERPRISE, AL 36331-0067
(334) 393-7500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11606
AL
2251X0800X
Orthopedic Physical Therapist
PTH11606
AL
Other
Enumeration date
11/08/2023
Last updated
11/28/2023
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