Provider Demographics
NPI:1588179782
Name:NILL, DANIELLE KAYLA (MOTR)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:KAYLA
Last Name:NILL
Suffix:
Gender:F
Credentials:MOTR
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:KAYLA
Other - Last Name:DALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:291 OLD BAY RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:NEW DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03855-2245
Mailing Address - Country:US
Mailing Address - Phone:207-423-6478
Mailing Address - Fax:
Practice Address - Street 1:35 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NH
Practice Address - Zip Code:03835-3443
Practice Address - Country:US
Practice Address - Phone:603-755-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-10
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist