Individual
MARY KAY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1921 ORTEGA ST, NAVARRE, FL 32566-4111
(850) 936-8919
(850) 936-8936
Mailing address
1153 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4835
(850) 932-6382
(850) 932-9215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 19237
FL
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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