Individual
SANIQUA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 979-8118
Mailing address
10514 NOTTINGHAM RD, DETROIT, MI 48224-1783
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
7501008621
MI
225800000X
Recreation Therapist
Primary
57297
MI
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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