Provider Demographics
NPI:1306993837
Name:CREAL, DANIEL L (PT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:CREAL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4451 N 26TH ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4142
Mailing Address - Country:US
Mailing Address - Phone:402-476-2600
Mailing Address - Fax:402-476-2604
Practice Address - Street 1:6940 VAN DORN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2858
Practice Address - Country:US
Practice Address - Phone:402-483-4709
Practice Address - Fax:402-483-4097
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE3402251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE091029Medicare ID - Type Unspecified