| Doctor Name: | MRS. DANIELLE ILLFELDER |
| NPI Number: | 1063401529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT, MSPT |
| License Number: | 16101 |
| Business Practice Address: | 456 Saint Davids Ave Wayne, PA - 190874203 |
| Business Phone Number: | 6102252451 |
| Business Fax Number: | 6109646166 |
| Mailing Address: | 263 Broughton Ln, VILLANOVA |
| State: | PA |
| Postal Code: | 190851913 |
| Phone Number: | 6172830634 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2005 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 16101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |