Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 014997 | OH |
NPI | 1073915443 |
---|---|
Provider Name | Mrs. Danielle Christman |
First Address | Cincinnati, OH 45231-1409 |
Second Address | Cincinnati, OH 45231-1409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2014 |
Last Update Date | 18/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
21211724 | (05) | OH |