Individual
DANIELLE GREGOIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9475 ROOSEVELT BLVD, PHILADELPHIA, PA 19114-2212
(215) 464-6200
(215) 464-9834
Mailing address
1812 MARSH RD STE 505, WILMINGTON, DE 19810-4515
(302) 793-0432
(302) 793-0400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018268
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083787915
CHAMPUS TRICARE
—
01
—
223531
PABS
PA
01
—
2849800000
AMERIHEALTH IBC
—
Enumeration date
11/16/2006
Last updated
03/09/2009
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