Daniel Deangelo, OT

Individual provider Active NPI Occupational Therapist · Hiawatha, KS

NPI 1689098915 · NPPES record last updated Feb 6, 2014

Key facts

NPI
1689098915
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1756 (NE)
Practice address
700 Oregon St
Hiawatha, KS 66434-2232
Phone
(785) 742-7606
Fax
(785) 742-4490
NPI assigned
Feb 6, 2014
Sex
Male
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
1756NEMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1756 NE Yes

Addresses

Primary practice location

700 Oregon St
Hiawatha, KS 66434-2232

Mailing address

700 Oregon St
Hiawatha, KS 66434-2232
Phone (785) 742-7606

Other providers in Hiawatha, KS

All providers in Hiawatha, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.