Healthcare Provider Details

I. General information

NPI: 1992613186
Provider Name (Legal Business Name): DANIELLE VALDESPINO FEAGLEY OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 LAGUNA PARK DR
ELK GROVE CA
95758-5162
US

IV. Provider business mailing address

5624 HEATHER FIELD WAY
ELK GROVE CA
95757-8326
US

V. Phone/Fax

Practice location:
  • Phone: 916-509-8877
  • Fax:
Mailing address:
  • Phone: 510-387-3789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number23926
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: