Roderick Eugene Daniel in Gulfport - Rehabilitation Practitioner

Roderick Eugene Daniel - NPI 1558458315

Roderick Eugene Daniel is a Rehabilitation Practitioner in Gulfport, Mississippi. Roderick Eugene Daniel practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Roderick Eugene Daniel is 1558458315. The last update date is 2007-07-08.

Roderick Eugene Daniel's current location address is 2705 Broadmoor Place, Gulfport, Mississippi. You can contact this provider via phone number 2285235116. The mailing address for Roderick Eugene Daniel is 2705 Broadmoor Place, Gulfport, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Roderick Eugene Daniel
Address 2705 Broadmoor Place, Gulfport, Mississippi
Phone Number 2285235116
Fax Number
Sole Proprietor Y
Credentials RKT

NPI Number Detail

NPI Number 1558458315
Provider Enumeration Date 2006-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2705 Broadmoor Place
City Gulfport
State Mississippi (MS)
Post Code 39501
Phone Number 2285235116
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Licence No 1085
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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FAQs about Roderick Eugene Daniel

What is the Roderick Eugene Daniel's 1558458315?

The Roderick Eugene Daniel's NPI (National Provider Identifier) Number is 1558458315. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Roderick Eugene Daniel?

The Roderick Eugene Daniel is situated at 2705 Broadmoor Place, in the city of Gulfport, state of MS, with the zip code 39501.

What is Roderick Eugene Daniel's specialized field of practice, and what is the corresponding taxonomy classification code?

The Roderick Eugene Daniel's area of specialization is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 225400000X.

On what date did the Roderick Eugene Daniel receive the assignment of its 1558458315 from the Centers for Medicare & Medicaid Services?

The Roderick Eugene Daniel was issued its 1558458315 by the Centers for Medicare & Medicaid Services on 2006-10-05.

When was the information related to Roderick Eugene Daniel most recently updated or refreshed?

The details pertaining to the Roderick Eugene Daniel, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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