Individual
SUSAN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
450 PITT AVE, SEBASTOPOL, CA 95472-3747
(707) 486-7702
Mailing address
PO BOX 2232, SEBASTOPOL, CA 95473-2232
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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