Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology |
NPI | 1770953655 |
---|---|
Provider Name | Alicia Danto |
First Address | Houston, TX 77004-8004 |
Second Address | Houston, TX 77004-8004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2015 |
Last Update Date | 17/05/2017 |