Individual
RACHEL KEIKO MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LANNING LN, ROLLA, MO 65401-4144
(573) 368-2393
Mailing address
12795 STATE RTE E, ROLLA, MO 65401-7390
(573) 465-4493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014027315
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014027315
MO BOARD OF OCCUPATIONAL THERAPY
MO
Enumeration date
10/25/2018
Last updated
10/25/2018
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