Doctor Name: | DANIELLE BLAKE |
NPI Number: | 1730585985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | PT29873 |
Business Practice Address: | 550 13th Ave E West Fargo, ND - 580783360 |
Business Phone Number: | 7013642739 |
Business Fax Number: | 7013730037 |
Mailing Address: | 550 13th Ave E, WEST FARGO |
State: | ND |
Postal Code: | 580783360 |
Phone Number: | 7013642739 |
Fax Number: | 7013730037 |
NPI Enumeration Date: | 11/17/2014 |
NPI Last Update Date: | 11/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT29873 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |