| NPI | 1134406119 |
|---|---|
| Former Name | DANIELLE ALLYSE ETHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13704) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002777) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2013-02-19 |