Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 05011744A | IN |
N | 225100000X | Physical Therapist | 9965 | MN |
Y | 225100000X | Physical Therapist | PT34307 | FL |
NPI | 1003298621 |
---|---|
Provider Name | Danielle R Honnette |
First Address | Parkersburg, WV 26101-1005 |
Second Address | Ocala, FL 34471 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2015 |
Last Update Date | 14/01/2019 |