| NPI | 1346741113 |
|---|---|
| Former Name | DANIELLE L BOUWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1953) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017866) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-05-15 |