| NPI | 1497122923 | 
|---|---|
| Former Name | DANIELLE LYNN MARINO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 039508)  | 
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics | 
| Enumeration Date | 2015-09-01 | 
| Last Update Date | 2021-12-28 |