Individual
MS. TELETHA LASHONE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
705 HIGHWAY 418 W, SILSBEE, TX 77656
(409) 385-0033
Mailing address
1665 LINNS WAY, BEAUMONT, TX 77706-3153
(409) 291-6329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212144
TX
Other
Enumeration date
05/05/2013
Last updated
08/27/2018
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