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DEJUAN J. DANIEL P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1558553800

Individual Registrant:
 DEJUAN J. DANIEL P.T.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
8811 HWY 65 SOUTH  DUMAS, AR 71639-0887 US
Tel: 870-382-4818  Fax: 870-382-1048

Contact information for business:
PO BOX 887  DUMAS, AR 71639-0887 US
Tel: 870-382-4818  Fax: 870-382-1048

Registration Information:
NPI: 1558553800
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ARPT 2740

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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