Individual
DYLAN J NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 903-1905
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
03/25/2024
Last updated
04/30/2025
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