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Individual

MS. DANIELLE MARIE PELLETIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
7857 N UNIVERSITY DR STE 401, PARKLAND, FL 33067-2600
(954) 659-5370
Mailing address
7857 N UNIVERSITY DR STE 401, PARKLAND, FL 33067-2600
(954) 659-5370
(954) 659-5371

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
9000
AZ
225100000X
Physical Therapist
16392
MA
225100000X
Physical Therapist
PT02011
RI
2251X0800X
Orthopedic Physical Therapist
Primary
PT32756
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16392
PHYSICAL THERAPY LICENSE
MA
01
9000
PT LICENSE
AZ
01
PT02011
PHYSICAL THERAPY LICENSE
RI
01
PT32756
PHYSICAL THERAPIST
FL
Enumeration date
05/20/2006
Last updated
07/26/2022
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