Katherine Kay Daniels, MS CCC-SLP | |
13356 Wildgrass Trl, Odessa, FL 33556-1972 | |
(850) 556-8076 | |
Not Available |
Full Name | Katherine Kay Daniels |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 13356 Wildgrass Trl, Odessa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568037968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA15489 (Florida) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
Mailing Address | Practice Location Address |
---|---|
Katherine Kay Daniels, MS CCC-SLP 13356 Wildgrass Trl, Odessa, FL 33556-1972 Ph: (850) 556-8076 | Katherine Kay Daniels, MS CCC-SLP 13356 Wildgrass Trl, Odessa, FL 33556-1972 Ph: (850) 556-8076 |
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