Individual
DANIELLE SQUIRES
Active
Individual
DANIELLE SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01803600
NJ
225100000X
Physical Therapist
PT029203
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT029203
PHYSICAL THERAPY BOARD OF PENNSYLVANIA
PA
Enumeration date
09/23/2018
Last updated
01/17/2024
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