Basic Information
| Provider Information | |||||||||
| NPI: | 1346571072 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POST | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | D.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1355 15TH ST | ||||||||
| Address2: | |||||||||
| City: | FORT LEE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070242039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2012248717 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1355 15TH ST | ||||||||
| Address2: | |||||||||
| City: | FORT LEE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070242039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2012248717 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2010 | ||||||||
| LastUpdateDate: | 01/20/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA01342800 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 40QA01342800 | 01 | NJ | PHYSICAL THERAPY LICENSE NUMBER | OTHER |