Individual
MARK DANIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS
Contact information
Practice address
2560 COLORADO BLVD, EAGLE ROCK, CA 90041-1005
(323) 255-5409
(323) 255-5732
Mailing address
2560 COLORADO BLVD, EAGLE ROCK, CA 90041-1005
(323) 255-5409
(323) 255-5732
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
37996
CA
Other
Enumeration date
09/15/2014
Last updated
05/27/2025
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