DANIEL DATU BACULI
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1700408630- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 38660 LEXINGTON ST APT 588, FREMONT, CA, 945366201
- Phone
- (498) 261-2801
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CA #11206
All Addresses
MAILING
38660 LEXINGTON ST APT 588
FREMONT, CA, 945366201