Individual
DANIELLE RENEE VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12460 N RANCHO VISTOSO BLVD STE 140, ORO VALLEY, AZ 85755-1989
(520) 615-6573
(520) 575-7014
Mailing address
408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 93401-6135
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305214876
VA
225100000X
Physical Therapist
5501019856
MI
225100000X
Physical Therapist
Primary
LPT33211
AZ
Other
Enumeration date
01/18/2021
Last updated
09/15/2023
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