Individual
DANIELLE WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6007 FAIR LAKES RD, EAST SYRACUSE, NY 13057-1253
(315) 720-9140
Mailing address
5010 MACCLENTHEN RD, MANLIUS, NY 13104-9761
(315) 225-6338
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
0305070
NY
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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