Individual
MR. OLIVER JACKSON DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
245 CAHABA VALLEY PKWY, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
11 OLD DORA RD, SUMITON, AL 35148-4209
(205) 295-8036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1386
AL
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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