Individual
KECIA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 966-6500
Mailing address
PO BOX 452322, LOS ANGELES, CA 90045-8531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7318
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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