Most Relevant Information
Provider Data
| NPI Number: | 1003002619 |
| Provider Name: | DANIELLE N MILES PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 005991 |
Most Important Dates
| Enumeration Date: | 09/18/2007 |
| Last Updated: | 05/28/2024 |
Provider Practice Location
383 GOODYEAR AVE
BUFFALO
NY
142112311
Practice Location Phone/Fax
| Phone: | 7164268576 |
| Fax: |
Provider Mailing Location
383 GOODYEAR AVE
BUFFALO
NY
142112311
Provider Mailing Phone/Fax
| Phone: | 7164268576 |
| Fax: |