Ms Tara Revee Mcdaniel, MS, OTR/L | |
6343 Via De Sonrisa Del Sur, Boca Raton, FL 33433-8211 | |
(561) 391-7700 | |
Not Available |
Full Name | Ms Tara Revee Mcdaniel |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 6343 Via De Sonrisa Del Sur, Boca Raton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265723100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 6490 (Florida) | Primary |
Provider Name | Devoted Physical Therapy |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235757253 PECOS PAC ID: 9537585732 Enrollment ID: O20200819000512 |
Mailing Address | Practice Location Address |
---|---|
Ms Tara Revee Mcdaniel, MS, OTR/L 8358 Attalla Ave, North Port, FL 34287-6702 Ph: (941) 467-6972 | Ms Tara Revee Mcdaniel, MS, OTR/L 6343 Via De Sonrisa Del Sur, Boca Raton, FL 33433-8211 Ph: (561) 391-7700 |
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