| NPI | 1841890118 |
|---|---|
| Former Name | DANIELLE KRISTEN CONIGLIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036654) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 036654) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |