Individual
DANIELLE DUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10730 HENDERSON RD, VENTURA, CA 93004-1832
(805) 647-1141
Mailing address
61 NEIL AVE, BRICK, NJ 08724-7019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0046TR00569000
NJ
225X00000X
Occupational Therapist
Primary
12870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046TR00569000
NJ OCCUPATIONAL THERAPY LICENSE
NJ
01
—
288265
NATIONAL BOARD OF OCCUPATIONAL THERAPY CERTIFICATION
—
01
—
OT 12870
CA OCCUPATIONAL THERAPY LICENSE
CA
Enumeration date
10/10/2012
Last updated
10/10/2012
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