Individual
MRS. DANIELLE ILLFELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MSPT
Contact information
Practice address
456 SAINT DAVIDS AVE, WAYNE, PA 19087-4203
(610) 225-2451
(610) 964-6166
Mailing address
263 BROUGHTON LN, VILLANOVA, PA 19085-1913
(617) 283-0634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16101
MA
Other
Enumeration date
10/18/2005
Last updated
10/15/2012
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