Provider Demographics
NPI:1447260906
Name:VITTONE, DANIELLE BARBARA (PT, DSC, MSPA,OCS)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:BARBARA
Last Name:VITTONE
Suffix:
Gender:F
Credentials:PT, DSC, MSPA,OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3311
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01202-3311
Mailing Address - Country:US
Mailing Address - Phone:413-443-4246
Mailing Address - Fax:413-443-0737
Practice Address - Street 1:290 1ST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4751
Practice Address - Country:US
Practice Address - Phone:413-443-4246
Practice Address - Fax:413-443-0737
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3474225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY65142OtherBC/BS
MA0346365Medicaid
MAY65142Medicare ID - Type Unspecified