Individual
DANIELLE NICOLE STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-2860
Mailing address
10450 LANCASTER RD, BENT MOUNTAIN, VA 24059-2182
(540) 309-1412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603835
VA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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