Individual
DANIELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
201 GATEWAY DR STE 300, BEAVER DAM, WI 53916-9176
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD STE F, PLAINFIELD, IL 60544-8708
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15430-24
WI
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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