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NPI Code Detail

MEDICARE: MRS. DANIELLE BENAI MCMANUS OTR/L

MEDICARE: MRS. DANIELLE BENAI MCMANUS OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist3746FL

General Provider Information

NPI Number : 1073077251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE BENAI MCMANUS OTR/L
Provider Business Mailing Address
First Line : 17396 ORIOLE RD
Second Line :
City : FORT MYERS
State : FL
Zip : 33967-5103
Country : US
Telephone Number : 239-980-4120
Fax Number :
Provider Business Practice Location Address
First Line : 9520 BONITA BEACH RD SE
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-4517
Country : US
Telephone Number : 239-919-1142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2019
Last Update Date : 01/22/2019

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