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Individual

DAWN MAE DEGROOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
8015 S SEPULVEDA BLVD, WESTCHESTER, CA 90045-2940
(310) 991-7751
Mailing address
537 AVENUE A, REDONDO BEACH, CA 90277-4802
(719) 310-4167

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTA0012192
CO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA48746
CA

Other

Enumeration date
10/10/2017
Last updated
10/10/2017
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