Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 013804 | OH |
N | 2251X0800X | Physical Therapist - Orthopedic | 013804 | OH |
NPI | 1205486263 |
---|---|
Provider Name | Dr. Daniel James Hass |
First Address | Garfield Hts, OH 44125-5371 |
Second Address | Garfield Hts, OH 44125-5371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2019 |
Last Update Date | 12/09/2019 |