Individual
MS. DANELLE KWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1004 HADDONFIELD RD, CHERRY HILL, NJ 08002-2746
(856) 662-2336
Mailing address
60 CHIPPENHAM DR, VOORHEES, NJ 08043-4741
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40QA01144200
NJ
225100000X
Physical Therapist
Primary
40QA01144200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 22 5100000X
PT 22 5100000X
NJ
Enumeration date
10/06/2005
Last updated
01/19/2017
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