Individual
MRS. CONSTANCE LOU DYKHOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1414 PARK ST, PASO ROBLES, CA 93446-2160
(805) 237-0272
(805) 237-2416
Mailing address
PO BOX 1084, TEMPLETON, CA 93465-1084
(805) 434-2748
(805) 237-2416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT11074
PT BOARD OF CA
CA
Enumeration date
08/11/2005
Last updated
07/08/2007
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