Individual
JESSICA W DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
821 W HIGHWAY 50 STE 150, O FALLON, IL 62269-1828
(618) 726-0370
Mailing address
1104 LUCCA CT, CASEYVILLE, IL 62232-2517
(859) 285-7716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016302
IL
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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