Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 013076 | OH |
NPI | 1003117995 |
---|---|
Provider Name | Danielle Skaggs |
First Address | Galloway, OH 43119-8011 |
Second Address | Gahanna, OH 43230-3036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2010 |
Last Update Date | 08/11/2010 |