| NPI | 1932865375 |
|---|---|
| Former Name | DANIELLE JOHANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT42443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02056200) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2026-02-16 |