MISS Tracy Marie Daniels, COTA/L

NPI #1013164029 in Decatur, Illinois

Provider Information

NPI Number
1013164029
Entity Type
Individual
Name
MISS Tracy Marie Daniels, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Aug 20, 2008
Last Updated
Aug 20, 2008

Practice Location

Address
1790 S FAIRVIEW AVE
ZIP Code
62521-4010
Phone
(217) 429-2551

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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