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NPI Code Detail

MEDICARE: DANIELLE NIKOLE HENSLEY

MEDICARE: DANIELLE NIKOLE HENSLEY
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
1225200000XPhysical Therapy Assistant21408FL

General Provider Information

NPI Number : 1063660504
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE NIKOLE HENSLEY
Provider Business Mailing Address
First Line : 4820 W NEWBERRY RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32607-2249
Country : US
Telephone Number : 352-373-7211
Fax Number :
Provider Business Practice Location Address
First Line : 4820 W NEWBERRY RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32607-2249
Country : US
Telephone Number : 352-373-7211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2008
Last Update Date : 09/08/2008

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Directions to “ DANIELLE NIKOLE HENSLEY ” Practice Location

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