| NPI | 1649660135 |
|---|---|
| Former Name | DANIELLE V GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25885) |
| 225100000X Physical Therapist (Licence: VA 2305209271) | |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2019-07-11 |