Individual
DANIELLE MEDOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33500 HELMS LN, LILLIAN, AL 36549-5595
(917) 302-0434
Mailing address
33500 HELMS LN, LILLIAN, AL 36549-5595
(179) 302-0434
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
08/21/2017
Last updated
05/12/2025
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