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Organization
DWIGHT JESSE CORNISH
Active
Organization
DWIGHT JESSE CORNISH
Active
Other names
AQUATIC PHYSICAL THERAPY OF PALM DESERT
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT CORNISH PT (DIRECTOR)
(760) 568-9811
Entity
Organization
Contact information
Practice address
74824 LENNON PL, PALM DESERT, CA 92260-1901
(760) 568-9811
Mailing address
PO BOX 13888, PALM DESERT, CA 92255-3888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7254
CA
Other
Enumeration date
03/24/2007
Last updated
06/13/2008
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