Provider Demographics
NPI:1710266960
Name:LINICK, DANIEL P (PT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:LINICK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 ROUTE 38
Mailing Address - Street 2:SUITE 9
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2791
Mailing Address - Country:US
Mailing Address - Phone:609-845-3585
Mailing Address - Fax:877-407-4329
Practice Address - Street 1:1299 ROUTE 38
Practice Address - Street 2:SUITE 9
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-2791
Practice Address - Country:US
Practice Address - Phone:609-845-3585
Practice Address - Fax:877-407-4329
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01339700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist