Individual
MRS. LISA MARIE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA.L
Contact information
Practice address
1390 KING TREE DR, DAYTON, OH 45405-1401
(937) 278-0723
Mailing address
2901 ARGELLA AVE, DAYTON, OH 45410-3152
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03496
OH
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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