Individual
DANIELLE NICOLE TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
4651 DALLAS PKWY, SUITE 200, DALLAS, TX 75254
(866) 919-3240
Mailing address
5908 MARTEL AVE, DALLAS, TX 75206-5708
(303) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120591
TX
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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