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Individual

MR. DANIEL DEAN MCKINZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR, MPP

Contact information

Practice address
833 MIKAL LN, BROWNSBURG, IN 46112-7994
(317) 313-3239
Mailing address
833 MIKAL LN, BROWNSBURG, IN 46112-7994
(317) 313-3239

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
31002319A
IN

Other

Enumeration date
04/30/2021
Last updated
04/30/2021
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