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Individual

DR. DANALYN ELIZABETH MARIE WORKENTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.D.

Contact information

Practice address
8225 MALLOW MIRROR LN, LAND O' LAKES, FL 34637-3463
(208) 571-1180
Mailing address
8225 MALLOW MIRROR LN, LAND O' LAKES, FL 34637
(208) 571-1180

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
23382
OR
225X00000X
Occupational Therapist
OT 60178977
WA
225X00000X
Occupational Therapist
Primary
OT17655
FL
225X00000X
Occupational Therapist
OT845
ID

Other

Enumeration date
04/22/2011
Last updated
05/06/2019
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