Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT 14765 | FL |
NPI | 1033252275 |
---|---|
Provider Name | Mrs. Maryann Daniels |
First Address | Ocoee, FL 34761-2935 |
Second Address | Ocoee, FL 34761-2935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 23/02/2018 |