Provider Demographics
NPI:1184819609
Name:BAJUS, DANIEL JAMES (PT, DPT, OCS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JAMES
Last Name:BAJUS
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6534 ANTHONY DR STE C
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1421
Mailing Address - Country:US
Mailing Address - Phone:585-869-5140
Mailing Address - Fax:
Practice Address - Street 1:6534 ANTHONY DR STE C
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1421
Practice Address - Country:US
Practice Address - Phone:585-869-5140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029471-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic