Provider Demographics
NPI:1417472705
Name:MAGUIRE, DANIELLE (LPTA)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ROWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2922
Mailing Address - Country:US
Mailing Address - Phone:781-927-9503
Mailing Address - Fax:
Practice Address - Street 1:1 BATHOL ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-3655
Practice Address - Country:US
Practice Address - Phone:781-245-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant