Daniel Licamara Valid NPI

Individual provider · Physical Therapy Assistant · Wayne, NJ

NPI

1689344574

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

40QB00386400 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2021-09-14

Last updated

2021-09-14