Individual
BRANDI DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16106 3RD ST E, REDINGTON BEACH, FL 33708-1610
(813) 315-0492
Mailing address
16106 3RD ST E, REDINGTON BEACH, FL 33708-1610
(813) 315-0492
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15252
FL
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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