Jackie Mcdaniel

NPI #1073693099 in Ada, Oklahoma

Provider Information

NPI Number
1073693099
Entity Type
Individual
Name
Jackie Mcdaniel
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Oct 16, 2006
Last Updated
Jul 23, 2007

Practice Location

Address
1001 N COUNTRY CLUB RD
City
Ada
ZIP Code
74820-2847
Phone
(580) 421-4570

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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