Individual provider · Type 1 NPI

Judith Daniels, PTA20772

Specialist · Lake Mary, FL

NPI number 1104062041 Active

Practice location

250 International Pkwy
Lake Mary, FL 32746-5030

Call (800) 806-6026 Map

Mailing address

PO Box 127
Cape Canaveral, FL 32920-0127

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPTA20772 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104062041

Judith Daniels, PTA20772's National Provider Identifier is 1104062041, issued on Dec 24, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Mary, FL. The record was last updated on Dec 24, 2008.