Provider Demographics
NPI:1144334640
Name:KAMIMURA, DANIEL C (DPT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:KAMIMURA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 36867
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85740-6867
Mailing Address - Country:US
Mailing Address - Phone:520-747-9225
Mailing Address - Fax:520-207-1537
Practice Address - Street 1:3720S PARK AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-5071
Practice Address - Country:US
Practice Address - Phone:520-623-5551
Practice Address - Fax:520-624-7091
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ9841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist