Individual
DANIEL EDWARD VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
2614 JEFFERSON HWY, NEW ORLEANS, LA 70121-3828
(504) 291-5100
Mailing address
832 GREENWOOD DR, NEW ORLEANS, LA 70124-1783
(504) 812-4535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
321002
LA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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