Mcdaniel, Stacy M

Mcdaniel, Stacy M is an individual health care provider with primary practice located at 5833 Riverside Dr , Port Orange FL 32127-6431. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Mcdaniel, Stacy M can be contacted via phone (386) 566-1502.

Contact Information

Primary practice address
5833 Riverside Dr Port Orange FL 32127-6431
Phone: (386) 566-1502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT22739 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT10304 Florida

Profile Details

NPI number 1831288232
LBN Legal business name Mcdaniel, Stacy M
Credentials DPT, MOT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 15th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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