Individual
TRACEY DAWN DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
212 W SOO ST, PARKERS PRAIRIE, MN 56361-4404
(218) 338-1014
Mailing address
214 7TH AVE SE, PO BOX, ELBOW LAKE, MN 56531-4533
(218) 205-4676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202105
MN
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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