Individual
MRS. DANELLE LEE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 336-5680
(920) 336-5882
Mailing address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 336-5680
(920) 336-5882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2860
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20118400
—
WI
Enumeration date
05/13/2008
Last updated
05/13/2008
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