Individual
SHELLY SUZANNE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12105 AMBASSADOR DR, COLORADO SPRINGS, CO 80921-3642
(719) 481-5161
Mailing address
1711 WOODMOOR DR, MONUMENT, CO 80132-9002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2725
CO
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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