| NPI | 1093758070 |
|---|---|
| Former Name | DANIELLE MARIE CONRAD-REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018772) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018287) |
| 225100000X Physical Therapist (Licence: MD 21534) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-02-03 |