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NPI Code Detail

MEDICARE: DANIELLE MARIE ROLAND DPT

MEDICARE:   DANIELLE MARIE ROLAND  DPT
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 Therapist5501012773MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15501012773OTHERMIPHYSICAL THERAPIST LICENS

General Provider Information

NPI Number : 1427154376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE ROLAND DPT
Provider Business Mailing Address
First Line : 33900 HARPER AVE
Second Line : SUITE 104
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-4258
Country : US
Telephone Number : 586-350-2644
Fax Number :
Provider Business Practice Location Address
First Line : 6405 TELEGRAPH RD STE F1
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48301-1775
Country : US
Telephone Number : 248-633-2980
Fax Number : 248-633-2981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 01/05/2024

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Directions to “ DANIELLE MARIE ROLAND DPT” Practice Location

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