MEDICARE: MS. DANIELLE LIANE ALLEN OTR/L, MOT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	12245	CA

General Provider Information

NPI Number	:	1720365026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE LIANE ALLEN OTR/L, MOT

Provider Business Mailing Address
First Line	:	72 FERNDALE CT
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92374-4219
Country	:	US
Telephone Number	:	209-814-6123
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 FERNDALE CT
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92374-4219
Country	:	US
Telephone Number	:	209-814-6123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	02/09/2026

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