| NPI | 1003986399 |
|---|---|
| Other Name | DANIELLE DEODATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014496) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01211400) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-07-17 |