Provider Demographics
NPI:1174830764
Name:DANNA, JAMES MONTMINY (BA, MT-BC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MONTMINY
Last Name:DANNA
Suffix:
Gender:M
Credentials:BA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 LEGEND ROCK RD
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-7708
Mailing Address - Country:US
Mailing Address - Phone:401-441-8114
Mailing Address - Fax:
Practice Address - Street 1:11 KENYON AVE
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-4213
Practice Address - Country:US
Practice Address - Phone:401-783-4810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist