Provider Demographics
NPI:1174641914
Name:DANIELS, ARTHUR MARTIN (PT)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:MARTIN
Last Name:DANIELS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 SOUTHERN BLVD
Mailing Address - Street 2:PHYS THER OF THE BRONX
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-5202
Mailing Address - Country:US
Mailing Address - Phone:718-861-6787
Mailing Address - Fax:718-861-6056
Practice Address - Street 1:813 SOUTHERN BLVD
Practice Address - Street 2:PHYS THER OF THE BRONX
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-5202
Practice Address - Country:US
Practice Address - Phone:718-861-6787
Practice Address - Fax:718-861-6056
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013186-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist