Provider Demographics
NPI:1679884563
Name:DAEMS, JOAN LOUISE (JOAN DAEMS)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:LOUISE
Last Name:DAEMS
Suffix:
Gender:F
Credentials:JOAN DAEMS
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:
Other - Last Name:DAEMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:25554 MORNING MIST DR
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381-1836
Mailing Address - Country:US
Mailing Address - Phone:661-670-8502
Mailing Address - Fax:
Practice Address - Street 1:25554 MORNING MIST DR
Practice Address - Street 2:
Practice Address - City:STEVENSON RANCH
Practice Address - State:CA
Practice Address - Zip Code:91381-1836
Practice Address - Country:US
Practice Address - Phone:661-670-8502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12329225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics