Individual
WENDY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 11TH AVE S # 155, NAMPA, ID 83651-3918
(208) 466-1077
Mailing address
1336 S EDGEWATER CIR APT 102, NAMPA, ID 83686-6283
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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