Michelle Ann Daniels II, COTA

Individual provider Active NPI Occupational Therapy Assistant · Marmet, WV

NPI 1154542991 · NPPES record last updated Sep 19, 2016

Key facts

NPI
1154542991
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
C1576 (WV)
Practice address
1 Sutphin Dr
Marmet, WV 25315-1977
Phone
(304) 949-2000
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C1576WVMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X C1576 WV Yes

Addresses

Primary practice location

1 Sutphin Dr
Marmet, WV 25315-1977

Mailing address

436 Maple Fork Rd
Mount Hope, WV 25880-9361
Phone (304) 663-8780

Other providers in Marmet, WV

All providers in Marmet, WV · Occupational Therapy Assistant in West Virginia

Sources for this page

Verify at the official NPI Registry.