JUSTIN BRENT DORN

SOUTH LAKE TAHOE, CA
NPI1245776327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT292376)
Enumeration Date2017-01-12
Last Update Date2021-01-20
Business Address
JUSTIN BRENT DORN DPT
2038 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6499
Phone number: 530-208-9910
Mailing Address
JUSTIN BRENT DORN DPT
2038 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6499
Phone number: 530-208-9910
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