Individual
DANIELLE DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
Mailing address
8627 SCENIC VIEW DR APT 2207, FORT WORTH, TX 76244-9272
(828) 455-6782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
117043
TX
225X00000X
Occupational Therapist
Primary
5843
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5843
STATE LICENSE
SC
Enumeration date
07/14/2015
Last updated
05/28/2020
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