Daniel Raymond Persichetti
Physical Therapist Physical Therapist - Geriatrics
7150 Tampa Ave
Reseda
, California 91335-3700
Daniel Raymond Persichetti
Physical Therapist Physical Therapist - Geriatrics
7150 Tampa Ave
Reseda
, California 91335-3700
(818) 942-2284
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Daniel Raymond Persichetti
- 7150 Tampa Ave
- Reseda, CA
- Zip : 91335-3700
- Phone : (818) 942-2284
Second Address
- Daniel Raymond Persichetti
- 7150 Tampa Ave
- Reseda, CA
- Zip : 91335-3700
- Phone : (818) 942-2284
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 1170488 | TX |
| Y | 2251G0304X | Physical Therapist - Geriatrics | 34315 | CA |
National Provider Identifier
| NPI | 1114136579 |
|---|---|
| Provider Name | Daniel Raymond Persichetti |
| First Address | Reseda, CA 91335-3700 |
| Second Address | Reseda, CA 91335-3700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 23/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.