Individual
DANIELLE HENNESSY-WACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9910 ESTERO OAKS DR APT 313, FORT MYERS, FL 33967-5267
(321) 626-2573
Mailing address
9910 ESTERO OAKS DR, FORT MYERS, FL 33967-5266
(321) 626-2573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21566
FL
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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