Individual
DOREEN SPEARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
34590 COUNTY LINE RD STE 7, YUCAIPA, CA 92399-5398
(909) 795-4255
(900) 795-4438
Mailing address
PO BOX 1427, YUCAIPA, CA 92399-1427
(909) 795-4255
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
10699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609180397
PHYSICAL THERAPY; EARLY INTERVENTION
—
Enumeration date
11/30/2018
Last updated
11/30/2018
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