Healthcare Provider Details

I. General information

NPI: 1346717048
Provider Name (Legal Business Name): RACHEL DAOF PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 N LAKE AVE STE 220
PASADENA CA
91101-4154
US

IV. Provider business mailing address

232 N LAKE AVE STE 220
PASADENA CA
91101-4154
US

V. Phone/Fax

Practice location:
  • Phone: 323-403-0234
  • Fax:
Mailing address:
  • Phone: 323-403-0234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: