Individual
REBECCA MARCIA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4650 GLENFOREST DR NE, ROSWELL, GA 30075-5714
(917) 653-1540
Mailing address
350 HIGHOAKS CT, ALPHARETTA, GA 30005-6758
(917) 653-1540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT003545
GA OT LICENSE
GA
Enumeration date
01/24/2019
Last updated
01/24/2019
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