Provider Demographics
NPI:1235297680
Name:EGLER, DANIEL R (OTR)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:R
Last Name:EGLER
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18128 FLYNN DR
Mailing Address - Street 2:UNIT 3306
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-4944
Mailing Address - Country:US
Mailing Address - Phone:661-251-2237
Mailing Address - Fax:
Practice Address - Street 1:27141 HIDAWAY AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-4131
Practice Address - Country:US
Practice Address - Phone:661-424-9333
Practice Address - Fax:661-424-9463
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6601225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist