Individual
JUDITH SARAH DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4712 ADMIRALTY WAY, 657, MARINA DEL REY, CA 90292-6905
(310) 305-4643
Mailing address
4712 ADMIRALTY WAY, 657, MARINA DEL REY, CA 90292-6905
(310) 305-4643
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
32247
CA
Other
Enumeration date
04/18/2007
Last updated
02/26/2017
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