Provider Demographics
NPI:1386281228
Name:TORP, DANIELLE (MS, ATC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:TORP
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8920 CLIFF CAMERON DR APT 107
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1059
Mailing Address - Country:US
Mailing Address - Phone:562-607-2479
Mailing Address - Fax:
Practice Address - Street 1:8920 CLIFF CAMERON DR APT 107
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-1059
Practice Address - Country:US
Practice Address - Phone:562-607-2479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer