Provider Demographics
NPI:1386821585
Name:TERRAY, DANIEL M JR (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:TERRAY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 OLD POST RD
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-4420
Mailing Address - Country:US
Mailing Address - Phone:860-388-1994
Mailing Address - Fax:860-388-2255
Practice Address - Street 1:140 OLD POST RD
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-4420
Practice Address - Country:US
Practice Address - Phone:860-388-1994
Practice Address - Fax:860-388-2255
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001940111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation