Individual
DANIEL RAYMOND PERSICHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 942-2284
Mailing address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 942-2284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1170488
TX
2251G0304X
Geriatric Physical Therapist
Primary
34315
CA
Other
Enumeration date
05/22/2007
Last updated
11/23/2020
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