JACKIE MCDANIEL

ADA, OK
NPI1073693099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: OK  1265)
Enumeration Date2006-10-16
Last Update Date2007-07-23
Business Address
JACKIE MCDANIEL
1001 N COUNTRY CLUB RD
ADA, OK 74820-2847
Phone number: 580-421-4570
Mailing Address
JACKIE MCDANIEL
1001 N COUNTRY CLUB RD
ADA, OK 74820-2847
Phone number: 580-421-4570