Healthcare Provider Details

I. General information

NPI: 1801903117
Provider Name (Legal Business Name): JEANNE M. SINGLETON-DORAN, RPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MONARCH BAY PLZ STE 110
DANA POINT CA
92629-3440
US

IV. Provider business mailing address

3 MONARCH BAY PLZ STE 110
DANA POINT CA
92629-3440
US

V. Phone/Fax

Practice location:
  • Phone: 949-661-8886
  • Fax: 949-661-5662
Mailing address:
  • Phone: 949-661-8886
  • Fax: 949-661-5662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT9494
License Number StateCA

VIII. Authorized Official

Name: JEANNE M DORAN
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: P.T.
Phone: 949-661-8886