Judith Daniels, PTA20772

NPI #1104062041 in Lake Mary, Florida

Provider Information

NPI Number: 1104062041
Entity Type: Individual
Name: Judith Daniels, PTA20772
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA20772
Enumeration Date: Dec 24, 2008
Last Updated: Dec 24, 2008

Practice Location

Address: 250 INTERNATIONAL PKWY
City: Lake Mary
State: Florida
ZIP Code: 32746-5030
Phone: (800) 806-6026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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