Organization
AMY DORE DPT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON TANNER (DIR OF REIMBURSMENT)
(248) 366-0403
Entity
Organization
Contact information
Practice address
1199 FOREST AVE, SUITE 2, PACIFIC GROVE, CA 93950-5100
(831) 643-9643
Mailing address
1199 FOREST AVE, SUITE 2, PACIFIC GROVE, CA 93950-5100
(831) 643-9643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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