Individual
MRS. GWEN DUNNING DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
4201 W CHAPMAN AVE, ORANGE, CA 92868-1505
(714) 748-6168
Mailing address
25495 CORAL WOOD ST, LAKE FOREST, CA 92630-5323
(949) 472-0778
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
76
CA
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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