Individual
BONNIE L. MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 DELAWARE AVE, LAUREL, DE 19956-1181
(302) 877-0683
Mailing address
165 DELAWARE AVE, LAUREL, DE 19956-1181
(302) 877-0683
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A00685
MD
224Z00000X
Occupational Therapy Assistant
Primary
U20000583
DE
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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