Provider Demographics
NPI:1912297631
Name:DANIEL, PATTI F (OT)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:F
Last Name:DANIEL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:EHRHARDT
Mailing Address - State:SC
Mailing Address - Zip Code:29081-0218
Mailing Address - Country:US
Mailing Address - Phone:843-270-3412
Mailing Address - Fax:843-627-4706
Practice Address - Street 1:3423 MAYBANK HWY
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-4821
Practice Address - Country:US
Practice Address - Phone:843-270-3412
Practice Address - Fax:843-627-4706
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1867225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist