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Contact Information

DANIEL R PERSICHETTI, PT
7150 TAMPA AVE
RESEDA, CA91335-3700
 Phone: 818-942-2284
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DANIEL R PERSICHETTI · (Male)

NPI # 1114136579
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/22/2007
Last updated 11/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 34315
  • TX License # 1170488
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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