Individual
MR. JAMES LESTER DANIELS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
841 PRUDENTIAL DR # 12TH, JACKSONVILLE, FL 32207-8329
(904) 469-4390
Mailing address
841 PRUDENTIAL DR # 12TH, JACKSONVILLE, FL 32207-8329
(904) 469-4390
(904) 551-6449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT10567
FL
251E00000X
Home Health Agency
Primary
1467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467
STAFFING
FL
01
—
1467
STAFFING
—
01
—
26-4133310
STAFFING
FL
Enumeration date
03/17/2009
Last updated
09/17/2021
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