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NPI Code Detail

MEDICARE: MRS. MAKESHA DANIELS

MEDICARE: MRS. MAKESHA DANIELS
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 Therapist8222FL

General Provider Information

NPI Number : 1083638175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAKESHA DANIELS
Provider Business Mailing Address
First Line : 3101 GINGER DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4437
Country : US
Telephone Number : 850-877-2177
Fax Number :
Provider Business Practice Location Address
First Line : 3101 GINGER DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4437
Country : US
Telephone Number : 850-877-2177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 06/01/2016

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Directions to “ MRS. MAKESHA DANIELS ” Practice Location

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