Individual
MS. DANIELLE IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1368
(201) 847-8585
Mailing address
183 E MAIN ST, APT 1, RAMSEY, NJ 07446-1926
(201) 575-0127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01369600
NJ
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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