Individual
REBECCA DORNBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 MONTESANO ST, 1ST FLOOR #300, WESTPORT, WA 98595
(360) 268-0725
Mailing address
2567 APPY LN, APOPKA, FL 32712-5601
(407) 902-7519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26172
FL
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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