Provider Demographics
NPI:1871521963
Name:DANNER, JEANNE ELIZABETH (BA, OT)
Entity type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:ELIZABETH
Last Name:DANNER
Suffix:
Gender:F
Credentials:BA, OT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1009 N GEORGETOWN ST
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3289
Mailing Address - Country:US
Mailing Address - Phone:512-244-8374
Mailing Address - Fax:512-244-8371
Practice Address - Street 1:898 E RICHMOND, SUITE 101
Practice Address - Street 2:
Practice Address - City:GIDDINGS
Practice Address - State:TX
Practice Address - Zip Code:78155
Practice Address - Country:US
Practice Address - Phone:979-542-3042
Practice Address - Fax:979-542-0195
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106494225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist