Danielle McDaniel

Individual provider Active NPI Occupational Therapy Assistant · Union, MS

NPI 1972179844 · NPPES record last updated Jun 1, 2021

Key facts

NPI
1972179844
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
TA3097 (MS)
Practice address
2631 Highway 494
Union, MS 39365-9248
Phone
(601) 416-8267
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
Yes

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
TA3097MSMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X TA3097 MS Yes

Addresses

Primary practice location

2631 Highway 494
Union, MS 39365-9248

Mailing address

2631 Highway 494
Union, MS 39365-9248

Other providers in Union, MS

All providers in Union, MS · Occupational Therapy Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.