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Individual

DANIEL MCSPADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
4145 MISTY MORNING WAY, LANIER VILLAGE ESTATES, GAINESVILLE, GA 30506
(678) 450-3035
(770) 538-6054
Mailing address
987 PEACEFUL VALLEY DR, CLEVELAND, GA 30528-4258

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001355
GA

Other

Enumeration date
01/04/2013
Last updated
01/04/2013
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