| NPI | 1306374558 |
|---|---|
| Former Name | DANIELLE LYNNE POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 15302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13307) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2021-08-04 |