Nicole Marie Mcdaniel, PT

NPI #1104826601 in Portland, Oregon

Provider Information

NPI Number: 1104826601
Entity Type: Individual
Name: Nicole Marie Mcdaniel, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Jul 26, 2005
Last Updated: Feb 20, 2017

Practice Location

Address: 530 NW 23RD AVE
Address 2: SUITE #116
City: Portland
State: Oregon
ZIP Code: 97210-3275
Phone: (971) 258-0995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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