NPI 1255799425

Gary Danielson, ATCR

Practitioner Rehabilitation Practitioner Odessa, TX

Practice location

Address: 4901 E University Blvd, Odessa, TX 79762-8122
Phone: (432) 552-2679
Mailing address: 4001 Faudree Rd APT. D203, Odessa, TX 79765-8620

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence AT6549 (TX)

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Registry record

NPI: 1255799425
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2016
Record last updated: 3 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.