Individual
FREDERICK OLIN MCDANIEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
825 EARLY ST STE G, SANTA FE, NM 87505-1680
(505) 992-1088
Mailing address
825 EARLY ST. STE G, SANTA FE, NM 87505-1680
(505) 992-1088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
985
NM
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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