Individual
DAKOTA ROSE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18540 E SAN TAN BLVD STE 101, QUEEN CREEK, AZ 85142-2203
(480) 677-8202
(480) 677-8203
Mailing address
18540 E SAN TAN BLVD STE 101, QUEEN CREEK, AZ 85142-2203
(480) 677-8202
(480) 677-8203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014046
AZ
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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