Individual
DANIELLE M KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
227 STATE ST, BREWER, ME 04412
(207) 922-4900
Mailing address
667 NEWBURGH RD, HERMON, ME 04401-0327
(631) 609-7378
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
035556
ME
225100000X
Physical Therapist
035556
NY
Other
Enumeration date
09/19/2012
Last updated
03/17/2018
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