Individual
DANIELLE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
1673 W SHORELINE DR STE 230, BOISE, ID 83702-6752
(208) 343-4700
Mailing address
477 N WHITEWATER PARK BLVD APT C302, BOISE, ID 83702-5686
(208) 949-4846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6407
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT-6407
—
ID
Enumeration date
08/06/2019
Last updated
08/08/2023
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