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Individual

DANIELLE MARIE TANNEHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1230 TAYLOR LANE EXT, SUITE 324, LEHIGH ACRES, FL 33936-6159
(239) 303-0957
(239) 303-2461
Mailing address
1230 TAYLOR LANE EXT, SUITE 324, LEHIGH ACRES, FL 33936-6159
(239) 303-0957
(239) 303-2461

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10669
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT 10669
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/27/2010
Last updated
01/27/2010
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