NPI 1558458315

Roderick Eugene Daniel, RKT

Practitioner Rehabilitation Practitioner Biloxi, MS

Practice location

Address: 400 Veteran's Ave, Biloxi, MS 39541
Phone: (228) 523-5116
Mailing address: 2705 Broadmoor Place, Gulfport, MS 39501

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 1085 (MS)

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Registry record

NPI: 1558458315
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2006
Record last updated: 8 Jul 2007

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.