Douglas Marion Mcdaniel, PTA
NPI #1427593847 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1427593847
- Entity Type
- Individual
- Name
- Douglas Marion Mcdaniel, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 20, 2016
- Last Updated
- Dec 21, 2016
Practice Location
- Address
- 5932 85TH ST
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158
- Phone
- (262) 914-5674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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