Individual
MRS. DANIELLE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 HIGHWAY 494, UNION, MS 39365-9248
(601) 416-8267
Mailing address
2631 HIGHWAY 494, UNION, MS 39365-9248
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3097
MS
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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