Individual
BROOKE NICOLE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
Mailing address
227 WILLOWBROOK LN, WHITEHOUSE, TX 75791-3499
(903) 720-0615
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215001
TX
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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