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Individual

DANIELLE AILEEN DENCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
NEW YORK THERAPY PLACEMENT SERVICES, INC., 299 HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776
(631) 331-2204
Mailing address
14 WESLEY ST, CENTER MORICHES, NY 11934-3718
(631) 495-5354

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1774345
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1774345
PHYSICAL THERAPIST ASSISTANT LICENSE
NY
Enumeration date
09/26/2022
Last updated
09/26/2022
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