DANIELLE ILEANA CARLSON

CASSOPOLIS, MI
NPI1538627674
Former NameDANIELLE ILEANA HALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06005675A)
Enumeration Date2019-03-07
Last Update Date2019-03-07
Business Address
DANIELLE ILEANA CARLSON PTA
23770 HOSPITAL ST
CASSOPOLIS, MI 49031-9644
Phone number: 269-445-3801
Mailing Address
DANIELLE ILEANA CARLSON PTA
3704 SAINT ANDREWS PL
ELKHART, IN 46517-3848
Phone number: 904-607-9518