Jack, Daniel L

Jack, Daniel L is an individual health care provider with primary practice located at 1185 To Lani Dr , Stone Mountain GA 30083-5361. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jack, Daniel L can be contacted via phone (404) 298-7708.

Contact Information

Primary practice address
1185 To Lani Dr Stone Mountain GA 30083-5361
Phone: (404) 298-7708
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT009595 Georgia

Profile Details

NPI number 1083919278
LBN Legal business name Jack, Daniel L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2011
Last updated Jan 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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