Provider Demographics
NPI:1811702715
Name:MCPHADDEN, DANELLE LAVERNE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:DANELLE
Middle Name:LAVERNE
Last Name:MCPHADDEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 KILLEARN CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-3464
Mailing Address - Country:US
Mailing Address - Phone:850-999-2577
Mailing Address - Fax:
Practice Address - Street 1:3845 KILLEARN CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-3464
Practice Address - Country:US
Practice Address - Phone:850-999-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT25186225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist