Healthcare Provider Details

I. General information

NPI: 1356616361
Provider Name (Legal Business Name): DANIEL ERIC HERRMANN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2012
Last Update Date: 03/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGHLANDS DR SUITE 100
LITITZ PA
17543-7693
US

IV. Provider business mailing address

124 FOX RD
NEWMANSTOWN PA
17073-8614
US

V. Phone/Fax

Practice location:
  • Phone: 717-625-2228
  • Fax:
Mailing address:
  • Phone: 717-682-9418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: