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Individual

DANIEL ROSEQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(201) 488-0488
Mailing address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(201) 488-0488

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01629600
NJ

Other

Enumeration date
08/27/2015
Last updated
08/31/2015
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