Individual
MRS. ALEXA MELAINE DANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
4212 CORAL PARK DRIVE, BRUNSWICK, GA 31520
(912) 342-8875
(912) 342-8016
Mailing address
4212 CORAL PARK DRIVE, BRUNSWICK, GA 31520
(912) 342-8875
(912) 342-8016
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.5729
SC
Other
Enumeration date
11/13/2019
Last updated
12/28/2022
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