Individual
MR. JUAN DANIEL MALDONADO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4430 MISSOURI AVENUE, BOX #1267, FORT LEONARD WOOD, MO 65473
(573) 596-0417
(321) 802-5811
Mailing address
4430 MISSOURI AVENUE, BOX #1267, FORT LEONARD WOOD, MO 65473
(573) 596-1707
(321) 802-5811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33776
FL
Other
Enumeration date
08/02/2018
Last updated
06/20/2022
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