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NPI Code Detail

MEDICARE: MS. DANIELLE MARIE HOLMES

MEDICARE: MS. DANIELLE MARIE HOLMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist6555MA

General Provider Information

NPI Number : 1770834731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELLE MARIE HOLMES
Provider Business Mailing Address
First Line : 54 KINGMAN ST
Second Line :
City : LAKEVILLE
State : MA
Zip : 02347-1727
Country : US
Telephone Number : 508-946-5356
Fax Number :
Provider Business Practice Location Address
First Line : 31 W GROVE ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-1859
Country : US
Telephone Number : 508-947-5195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2012
Last Update Date : 09/30/2012

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