Healthcare Provider Details

I. General information

NPI: 1275395451
Provider Name (Legal Business Name): DANIELLE ALEXANDER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7443 E LONG AVE
CENTENNIAL CO
80112-2651
US

IV. Provider business mailing address

7443 E LONG AVE
CENTENNIAL CO
80112-2651
US

V. Phone/Fax

Practice location:
  • Phone: 301-268-8537
  • Fax:
Mailing address:
  • Phone: 301-268-8537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: