Individual
DANIELLE PHILIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
176 WALKER ST, LOWELL, MA 01854-3126
(978) 452-9252
(978) 970-0271
Mailing address
176 WALKER ST, LOWELL, MA 01854-3126
(978) 452-9252
(978) 970-0271
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
20530
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20530
STATE LICENSE NUMBER
MA
01
—
858330
TUFTS PROVIDER NUMBER
MA
Enumeration date
06/27/2013
Last updated
01/07/2016
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