Daniel Brocker, PT
Physical Therapist in Troy, NY. Individual provider (NPI-1).
NPI number1760527436
StatusActive
Last updated in NPPESApr 30, 2015
Details
- NPI
- 1760527436
- Entity type
- Individual (NPI-1)
- Name
- Mr. Daniel Brocker
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Apr 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 011965 | NY | Yes |
Practice location
597 3rd AveTroy, NY 12182-2509
Phone 518-233-0544
Mailing address
360 Schauber RdBallston Lake, NY 12019-2106
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