Individual
MR. DANIEL L NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
Mailing address
2609 N 21ST ST, BROKEN ARROW, OK 74012-9611
(918) 798-5412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
612
OK
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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