Healthcare Provider Details

I. General information

NPI: 1447196035
Provider Name (Legal Business Name): JANICE ANN DAUGLASH MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 E CLAREMONT ST
PASADENA CA
91104-3641
US

IV. Provider business mailing address

503 E CLAREMONT ST
PASADENA CA
91104-3641
US

V. Phone/Fax

Practice location:
  • Phone: 323-578-9924
  • Fax:
Mailing address:
  • Phone: 323-578-9924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: