Provider Demographics
NPI:1326285644
Name:MOTYKA, DANIELLE LYNN (MSPT)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:LYNN
Last Name:MOTYKA
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:NY
Mailing Address - Zip Code:13214-2226
Mailing Address - Country:US
Mailing Address - Phone:315-449-4670
Mailing Address - Fax:
Practice Address - Street 1:224 WELLINGTON RD
Practice Address - Street 2:
Practice Address - City:DE WITT
Practice Address - State:NY
Practice Address - Zip Code:13214-2226
Practice Address - Country:US
Practice Address - Phone:315-449-4670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016413-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics