Individual
DANIELLE RAE MADDOX
Active
Individual
DANIELLE RAE MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1168
OK
225XP0200X
Pediatric Occupational Therapist
Primary
5416
OK
Other
Enumeration date
09/12/2011
Last updated
06/17/2020
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