Provider Demographics
NPI:1073718961
Name:CAREY, DANIELLE HOPE (MSOTR)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:HOPE
Last Name:CAREY
Suffix:
Gender:F
Credentials:MSOTR
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:HOPE
Other - Last Name:HARAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSOTR
Mailing Address - Street 1:174 HERMOSA CIR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-3903
Mailing Address - Country:US
Mailing Address - Phone:970-764-4542
Mailing Address - Fax:
Practice Address - Street 1:800 SAGUARO TRL
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-9632
Practice Address - Country:US
Practice Address - Phone:505-324-6754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2308225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist