Provider Demographics
NPI:1801832043
Name:CONROE, DANIELLE RICE (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:RICE
Last Name:CONROE
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1700 CALIFORNIA ST
Mailing Address - Street 2:440
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4586
Mailing Address - Country:US
Mailing Address - Phone:415-359-1444
Mailing Address - Fax:415-447-3868
Practice Address - Street 1:1700 CLAIFORNIA STREET
Practice Address - Street 2:SUITE 440
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-359-1444
Practice Address - Fax:415-447-3868
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT4157225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand