Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | AT3710 | TX |
NPI | 1720187842 |
---|---|
Provider Name | Ms. Danielle Marie Parmenter |
First Address | Fort Worth, TX 76111-5220 |
Second Address | Fort Worth, TX 76129-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |