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ELLEN DALE PT, DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1376702373

Individual Registrant:
 ELLEN  DALE PT, DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2711 E COAST HWY SUITE 206 CORONA DEL MAR, CA 92625-2104 US
Tel: 949-675-2922  Fax: 949-675-2992

Contact information for business:
2711 E COAST HWY SUITE 206 CORONA DEL MAR, CA 92625-2104 US
Tel: --  Fax: --

Registration Information:
NPI: 1376702373
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA34119

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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