NPI Search for Physicians and Health Care Providers
DAWN MAE DEGROOT PTA
>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1659881167
Individual Registrant:
DAWN MAE DEGROOT PTA
Gender: F
Not Sole Proprietor
Location and contact information for practice:
8015 S SEPULVEDA BLVD WESTCHESTER, CA 90045-2940 US
Tel: 310-991-7751 Fax: --
Contact information for business:
537 AVENUE A REDONDO BEACH, CA 90277-4802 US
Tel: 719-310-4167 Fax: --
Registration Information:
NPI: 1659881167
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation
| CO | PTA0012192 |
Y | 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | CA | PTA48746 |
Legacy codes, insurance codes and state license numbers:
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