Provider Demographics
NPI:1861771776
Name:DANISON, MICHELE H
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:H
Last Name:DANISON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MICHELE
Other - Middle Name:MARIE
Other - Last Name:HOSEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:13964 77TH PL N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-2104
Mailing Address - Country:US
Mailing Address - Phone:561-792-0138
Mailing Address - Fax:
Practice Address - Street 1:13964 77TH PL N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-2104
Practice Address - Country:US
Practice Address - Phone:561-792-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9654225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation