Individual
DANIELLE LOUISE BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L CHT CLT-LANA
Contact information
Practice address
2600 EASTON RD, WILLOW GROVE, PA 19090-1010
(610) 768-1610
(833) 941-3871
Mailing address
PO BOX 34990, BELFAST, ME 04915-0627
(610) 768-1610
(833) 941-3871
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC006270L
PA
Other
Enumeration date
03/02/2021
Last updated
05/23/2025
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