Healthcare Provider Details

I. General information

NPI: 1194930164
Provider Name (Legal Business Name): MRS. DANYETTE DAINIQUE ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANYETTE DAINIQUE STANFORD

II. Dates (important events)

Enumeration Date: 05/13/2007
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6917 ARLINGTON RD SUITE 226
BETHESDA MD
20814-5211
US

IV. Provider business mailing address

5631 HARBOR VALLEY DR
BROOKLYN MD
21225-2967
US

V. Phone/Fax

Practice location:
  • Phone: 301-657-5650
  • Fax:
Mailing address:
  • Phone: 410-589-0464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA2852
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: