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NPI Code Detail

MEDICARE: DR. DANIEL GORENBERG DPT

MEDICARE:  DR. DANIEL  GORENBERG  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1083443931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL GORENBERG DPT
Provider Business Mailing Address
First Line : 122 MORNINGSIDE DR
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1022
Country : US
Telephone Number : 856-375-0997
Fax Number :
Provider Business Practice Location Address
First Line : 3801 5TH ST SE
Second Line :
City : PUYALLUP
State : WA
Zip : 98374-2106
Country : US
Telephone Number : 253-445-4258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2024
Last Update Date : 03/16/2026

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Directions to “ DR. DANIEL GORENBERG DPT” Practice Location

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