| NPI | 1902191406 |
|---|---|
| Former Name | DANIELLE MARIE GRAMBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009351) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11729-24) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2017-04-10 |