Individual
JAMES DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11528 NW 109TH ST, YUKON, OK 73099-8088
(901) 409-7669
Mailing address
11528 NW 109TH ST, YUKON, OK 73099-8088
(901) 409-7669
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1939
OK
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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