Most Relevant Information
Provider Data
| NPI Number: | 1003387598 |
| Provider Name: | DANIELLE E MIKELL |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA16885 |
Most Important Dates
| Enumeration Date: | 12/10/2018 |
| Last Updated: | 12/10/2018 |
Provider Practice Location
1902 59TH ST W
BRADENTON
FL
342094602
Practice Location Phone/Fax
| Phone: | 9417611000 |
| Fax: |
Provider Mailing Location
4413 46TH ST N
SAINT PETERSBURG
FL
337143451
Provider Mailing Phone/Fax
| Phone: | 7275658973 |
| Fax: |