Healthcare Provider Details

I. General information

NPI: 1366366676
Provider Name (Legal Business Name): DANIELLE CATHLEENE KIEL OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE CATHLEENE LATHROP OTR

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7005 N MAPLE AVE STE 104
FRESNO CA
93720-8009
US

IV. Provider business mailing address

427 MEAD AVE
CORRY PA
16407-1123
US

V. Phone/Fax

Practice location:
  • Phone: 559-325-3503
  • Fax:
Mailing address:
  • Phone: 234-205-6070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number29315
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: