Provider Demographics
NPI:1720229818
Name:CHEUNG, DANIELLE (PT, PCS)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:PT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 ROCHELLE AVE
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-4939
Mailing Address - Country:US
Mailing Address - Phone:626-375-2374
Mailing Address - Fax:
Practice Address - Street 1:2409 ROCHELLE AVE
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-4939
Practice Address - Country:US
Practice Address - Phone:626-375-2374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190912251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics