Provider Demographics
NPI:1558654111
Name:JAMES, DANIELLE DEIDRE (PT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DEIDRE
Last Name:JAMES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 W ALABAMA ST APT 3108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5249
Mailing Address - Country:US
Mailing Address - Phone:832-605-3264
Mailing Address - Fax:
Practice Address - Street 1:3805 W ALABAMA ST APT 3108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5249
Practice Address - Country:US
Practice Address - Phone:832-605-3264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1165780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist