| NPI | 1609324136 |
|---|---|
| Former Name | DANIELLE ROGACZEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1272980) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2013028690) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2018-02-13 |