Provider Demographics
NPI:1831444983
Name:AZAR, DANIELLE L (DPT)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:L
Last Name:AZAR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:L
Other - Last Name:GALANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:120 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1420
Mailing Address - Country:US
Mailing Address - Phone:610-270-0370
Mailing Address - Fax:610-270-0374
Practice Address - Street 1:686 DEKALB PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1258
Practice Address - Country:US
Practice Address - Phone:610-270-0300
Practice Address - Fax:610-270-8863
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0221612251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic