Individual
MRS. DANIELLE RENEE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MA, BS
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 204, KERNERSVILLE, NC 27284-7198
(336) 277-4460
(336) 992-2674
Mailing address
3609 BIRDSONG CT, SUMMERFIELD, NC 27358-7222
(804) 317-4984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126 000661
VA
2255A2300X
Athletic Trainer
Primary
LAT-2201
NC
Other
Enumeration date
03/25/2007
Last updated
04/29/2021
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