Individual
MRS. DANICA NOEL HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2951 HARBOR BLVD, COSTA MESA, CA 92626-3912
(714) 546-7575
Mailing address
712 MERIDIAN AVE, SOUTH PASADENA, CA 91030-2524
(714) 390-8607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 8467
CA
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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