Most Relevant Information
Provider Data
| NPI Number: | 1003467903 |
| Provider Name: | DANIELLE NICOLE WILLS OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 31006848A |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
3600 W BETHEL AVE
MUNCIE
IN
473045407
Practice Location Phone/Fax
| Phone: | 8006226575 |
| Fax: |
Provider Mailing Location
8312 S CANOE TRL
PENDLETON
IN
460648578
Provider Mailing Phone/Fax
| Phone: | 3172016058 |
| Fax: |