Individual
AMANDA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5911 E. FOUNTAIN ST., MESA, AZ 85205
(480) 282-0321
Mailing address
5911 E FOUNTAIN ST, MESA, AZ 85205-5555
(480) 282-0321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5765
AZ
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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