Individual
MS. DANIELLE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 798-6793
Mailing address
2446 WORKMAN ST APT 323, LOS ANGELES, CA 90031-2384
(619) 623-1995
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225400000X
225400000X
CA
Enumeration date
07/18/2018
Last updated
07/18/2018
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