Individual
DANIELLE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 MYERS AVE, DENVILLE, NJ 07834-2161
(201) 396-5283
Mailing address
36 MYERS AVE, DENVILLE, NJ 07834-2161
(201) 396-5283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
053165
NJ
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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