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Individual

DANIEL SCOTT OCONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(407) 892-7344
Mailing address
1680 WEKIVA DR, MELBOURNE, FL 32940-6985
(847) 924-0454

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15616
FL

Other

Enumeration date
04/01/2017
Last updated
04/01/2017
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