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NPI Code Detail

MEDICARE: DONALD HOUSTON DANIEL P.T.

MEDICARE: DONALD HOUSTON DANIEL P.T.
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 TherapistPT007010GA
22251S0007XSports Physical TherapistPT007010GA
32251X0800XOrthopedic Physical TherapistPT007010GA

General Provider Information

NPI Number : 1003885534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD HOUSTON DANIEL P.T.
Provider Business Mailing Address
First Line : 2100 PALMYRA RD
Second Line :
City : ALBANY
State : GA
Zip : 31701-1320
Country : US
Telephone Number : 229-446-1990
Fax Number : 229-446-1993
Provider Business Practice Location Address
First Line : 2100 PALMYRA RD
Second Line :
City : ALBANY
State : GA
Zip : 31701-1320
Country : US
Telephone Number : 229-446-1990
Fax Number : 229-446-1993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 04/20/2009

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