Individual
MRS. DANIELLE QUATIE IVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
150 EMORY ST, ATTLEBORO, MA 02703-2439
(508) 222-5800
(508) 222-6170
Mailing address
17 MIRANDA WAY, BRIDGEWATER, MA 02324-1481
(508) 697-3520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15955
MA
Other
Enumeration date
02/23/2006
Last updated
03/23/2009
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