Individual
DANIELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41760 IVY ST STE 101, MURRIETA, CA 92562-9416
(951) 595-4673
Mailing address
41760 IVY ST STE 101, MURRIETA, CA 92562-9416
(951) 595-4673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5296
CA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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