Basic Information
| Provider Information | |||||||||
| NPI: | 1386885465 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COVELL | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | |||||||||
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| Credential: | M.S., OTR/L | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 6960 DESTINY DR | ||||||||
| Address2: | SUITE 117 | ||||||||
| City: | ROCKLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956772993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164150119 | ||||||||
| FaxNumber: | 9164150120 | ||||||||
| Practice Location | |||||||||
| Address1: | 6960 DESTINY DR | ||||||||
| Address2: | SUITE 117 | ||||||||
| City: | ROCKLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956772993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164150119 | ||||||||
| FaxNumber: | 9164150120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2009 | ||||||||
| LastUpdateDate: | 03/18/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 6929 | CA | Y | Other Service Providers | Specialist |
No ID Information.