Provider Demographics
NPI:1639399355
Name:LUPO, DANIEL JAMES SR (OTR/L, CHT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES
Last Name:LUPO
Suffix:SR
Gender:M
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 SOLAR DR STE 150
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0680
Mailing Address - Country:US
Mailing Address - Phone:805-604-1924
Mailing Address - Fax:805-604-0176
Practice Address - Street 1:2001 SOLAR DR STE 150
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0680
Practice Address - Country:US
Practice Address - Phone:805-604-1924
Practice Address - Fax:805-604-0176
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2165225XH1200X
CAOT2165225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand