Provider Demographics
NPI:1558722066
Name:BRINSER, DANNIELLE
Entity Type:Individual
Prefix:
First Name:DANNIELLE
Middle Name:
Last Name:BRINSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5954 GOLDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8238
Mailing Address - Country:US
Mailing Address - Phone:614-946-3363
Mailing Address - Fax:
Practice Address - Street 1:5954 GOLDSTONE DR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8238
Practice Address - Country:US
Practice Address - Phone:614-946-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer