Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT027979 | PA |
NPI | 1023663275 |
---|---|
Provider Name | Danielle Ashley Gehman |
First Address | New Holland, PA 17557-8706 |
Second Address | New Holland, PA 17557-8706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2019 |
Last Update Date | 05/08/2019 |