Individual
MRS. LACHELL MARIE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 PEACHTREE DR, SAVANNAH, GA 31419-1200
(912) 927-0500
Mailing address
3 BARRINGTON CIR, SAVANNAH, GA 31419-9530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002971
GA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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