Provider Demographics
NPI:1679763817
Name:ELKAN, DANIELLE PILEK (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:PILEK
Last Name:ELKAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S CHAPMAN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1614
Mailing Address - Country:US
Mailing Address - Phone:336-378-0187
Mailing Address - Fax:
Practice Address - Street 1:300 S CHAPMAN ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1614
Practice Address - Country:US
Practice Address - Phone:336-378-0187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3642225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics