Individual
MRS. MICHELE LYN DORAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
200 W SANTA ANA BLVD STE 100, SANTA ANA, CA 92701-4134
(714) 647-0300
Mailing address
1635 S CENTER ST, SANTA ANA, CA 92704-4111
(714) 430-6206
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT22618
CA
Other
Enumeration date
10/12/2007
Last updated
11/20/2007
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