Individual
NOELLE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
329 EXEMPLA CIRCLE, LAFAYETTE, CO 80026
(719) 649-8671
Mailing address
455 BLACKFOOT ST, SUPERIOR, CO 80027
(724) 953-9205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013511
CO
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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