Provider Demographics
NPI:1467823971
Name:MOSQUERA, WILLIAM DANIEL (DPT)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DANIEL
Last Name:MOSQUERA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:14340 LAYHILL RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1909
Mailing Address - Country:US
Mailing Address - Phone:301-438-3475
Mailing Address - Fax:301-438-6948
Practice Address - Street 1:14340 LAYHILL RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-1909
Practice Address - Country:US
Practice Address - Phone:301-986-9100
Practice Address - Fax:301-986-9101
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA4331225200000X
MD301802251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant