Individual
MARY DANIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TURNER AVE, SYRACUSE, NY 13219-1723
(315) 487-4828
Mailing address
101 TURNER AVE, SYRACUSE, NY 13219-1723
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008964-1
NY
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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