Individual
DANIEL MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
712 W. GRAND AVENUE, CHICAGO, IL 60654
(872) 304-1600
(872) 304-1601
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 416-9100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-020568
IL
Other
Enumeration date
02/21/2014
Last updated
12/23/2019
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