| NPI | 1548042369 |
|---|---|
| Former Legal Business Name | DANIELLE CHACKMAN THERAPY SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | DANIELLE CHACKMAN Owner 954-618-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-24 |