Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 21673 | IL |
NPI | 1952859225 |
---|---|
Provider Name | Mrs. Danielle Gilbert |
First Address | Buffalo, NY 14209-2331 |
Second Address | Buffalo, NY 14209-2331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2016 |
Last Update Date | 15/09/2016 |