Provider Demographics
NPI:1720181902
Name:TONIATTI, DANIELLE (PTA)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:TONIATTI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-3307
Mailing Address - Country:US
Mailing Address - Phone:814-235-9995
Mailing Address - Fax:814-235-9616
Practice Address - Street 1:434 W AARON DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-3074
Practice Address - Country:US
Practice Address - Phone:814-235-9995
Practice Address - Fax:814-235-9616
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE005636L225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant