Individual
DANIELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
2146 THOMPSON AVE SE, COVINGTON, GA 30014-2819
(770) 605-6510
Mailing address
2146 THOMPSON AVE SE, COVINGTON, GA 30014-2819
(770) 605-6510
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT014392
GA
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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