Organization
MATTHEW P DANNEKER
Active
Other names
Kinesio Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW P DANNEKER (OWNER/DIRECTOR)
(760) 503-5455
Entity
Organization
Contact information
Practice address
16049 TUSCOLA RD STE A, APPLE VALLEY, CA 92307-0824
(909) 263-2094
Mailing address
738 W CHESTNUT AVE, MONROVIA, CA 91016-7230
(760) 503-5455
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
33987
CA
Other
Enumeration date
12/29/2017
Last updated
08/07/2018
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