Individual
DANIELLE DARROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4926 LAKERIDGE ST APT TB, YPSILANTI, MI 48197-1424
(630) 885-7459
Mailing address
4926 LAKERIDGE ST APT TB, YPSILANTI, MI 48197-1424
(630) 885-7459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004128
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000021446
NATA BOC
IL
Enumeration date
01/18/2017
Last updated
09/11/2019
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