Miss Tracy Marie Daniels
Occupational Therapy Assistant
1790 S Fairview Ave
Decatur
, Illinois 62521-4010
Miss Tracy Marie Daniels
Occupational Therapy Assistant
1790 S Fairview Ave
Decatur
, Illinois 62521-4010
(217) 299-7493
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Miss Tracy Marie Daniels
- 101 E Moultrie St
- Bement, IL
- Zip : 61813-1542
- Phone : (217) 299-7493
Second Address
- Miss Tracy Marie Daniels
- 1790 S Fairview Ave
- Decatur, IL
- Zip : 62521-4010
- Fax : (217) 422-6453
- Phone : (217) 429-2551
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057.002225 | IL |
National Provider Identifier
| NPI | 1013164029 |
|---|---|
| Provider Name | Miss Tracy Marie Daniels |
| First Address | Bement, IL 61813-1542 |
| Second Address | Decatur, IL 62521-4010 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2008 |
| Last Update Date | 20/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.