Individual
DANIELLE O JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2637 PINE TREE DR, MIRAMAR, FL 33023
(845) 694-7353
Mailing address
2637 PINE TREE DR, MIRAMAR, FL 33023-4508
(845) 694-7353
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
022018
NY
222Q00000X
Developmental Therapist
33037
FL
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
022018
NY
225100000X
Physical Therapist
Primary
33037
FL
Other
Enumeration date
12/19/2016
Last updated
09/21/2018
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