Individual
MCKENZIE DANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2588 N HOUSTON ST APT 1718, DALLAS, TX 75219-7840
(713) 553-4904
Mailing address
3325 PATE WAY, ANNA, TX 75409-8459
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
119565
TX
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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