Organization
ROBERT E. DORER MOT OTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E DORER MOT OTR (OWNER)
(818) 954-0811
Entity
Organization
Contact information
Practice address
1624 W OLIVE AVE, SUITE # G, BURBANK, CA 91506-2459
(818) 954-0811
Mailing address
1624 W OLIVE AVE, SUITE # G, BURBANK, CA 91506-2459
(818) 954-0811
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT1512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1512
LICENCE
CA
Enumeration date
11/16/2006
Last updated
05/20/2008
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