MRS. Danelle Lee Koenig, P.T.A.

NPI #1063689636 in De Pere, Wisconsin

Provider Information

NPI Number: 1063689636
Entity Type: Individual
Name: MRS. Danelle Lee Koenig, P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: May 13, 2008
Last Updated: May 13, 2008

Practice Location

Address: 200 S 9TH ST
City: De Pere
State: Wisconsin
ZIP Code: 54115-1393
Phone: (920) 336-5680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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