Provider Demographics
NPI:1598270985
Name:KORMAN, DANIEL (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:KORMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7319 ROLLING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7336
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:894 LOOP 337 STE C
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3546
Practice Address - Country:US
Practice Address - Phone:830-609-2000
Practice Address - Fax:830-606-4028
Is Sole Proprietor?:No
Enumeration Date:2017-12-06
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1326450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC17461OtherNORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS
WAPT60773268OtherWASHINGTON STATE DEPARTMENT OF HEALTH
TX1326450OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS