| NPI | 1366986879 |
|---|---|
| Former Name | DANIELLE O CHAMPAGNIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33037) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 222Q00000X Developmental Therapist (Licence: FL 33037) | |
| 225100000X Physical Therapist (Licence: NY 022018) | |
| 222Q00000X Developmental Therapist (Licence: NY 022018) | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2018-09-21 |