Individual
DANIELLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3421 EMPRESA DR STE D, SAN LUIS OBISPO, CA 93401-7364
(805) 783-2390
(805) 783-2402
Mailing address
1689 LONGBRANCH AVE, GROVER BEACH, CA 93433-2556
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 13041
CA
Other
Enumeration date
11/19/2012
Last updated
05/17/2021
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