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Organization
LAKES PHYSICAL THERAPY, PC
Active
Organization
LAKES PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW PAUL DANNEKER DPT (OWNER)
(760) 946-0044
Entity
Organization
Contact information
Practice address
18564 HIGHWAY 18, SUITE 302, APPLE VALLEY, CA 92307-2340
(760) 946-0044
(760) 946-0040
Mailing address
18564 HIGHWAY 18, SUITE 302, APPLE VALLEY, CA 92307-2340
(760) 946-0044
(760) 946-0040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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