Doctor Name: | DANIELLE DIMARCO |
NPI Number: | 1073915443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 014997 |
Business Practice Address: | 3187 Western Row Rd Suite 102 Maineville, OH - 450398045 |
Business Phone Number: | 5134598599 |
Business Fax Number: | |
Mailing Address: | 3187 Western Row Rd, Suite 102 MAINEVILLE |
State: | OH |
Postal Code: | 450398045 |
Phone Number: | 5134598599 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2014 |
NPI Last Update Date: | 09/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 014997 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |