| NPI | 1609543859 |
|---|---|
| Former Name | DANIELLE ELIZABETH KRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28675) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029823) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-07-19 |