Individual
MRS. MICHELLE ANN DANIELS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 SUTPHIN DR, MARMET, WV 25315-1977
(304) 949-2000
Mailing address
436 MAPLE FORK RD, MOUNT HOPE, WV 25880-9361
(304) 663-8780
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1576
WV
Other
Enumeration date
05/01/2007
Last updated
09/19/2016
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