Provider Demographics
NPI:1851427033
Name:DANIELS, CHERI LYNN (AT,C)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:LYNN
Last Name:DANIELS
Suffix:
Gender:F
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 GAUGUIN CIR
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3872
Mailing Address - Country:US
Mailing Address - Phone:949-305-3757
Mailing Address - Fax:
Practice Address - Street 1:2650 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5537
Practice Address - Country:US
Practice Address - Phone:714-424-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer