Individual
DANIELLE ENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(208) 814-7950
Mailing address
3044 DUE WEST RD, DALLAS, GA 30157-2125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT-2366
ID
225X00000X
Occupational Therapist
Primary
OT008261
GA
Other
Enumeration date
04/20/2021
Last updated
12/31/2021
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