Healthcare Provider Details

I. General information

NPI: 1437740495
Provider Name (Legal Business Name): DOERRE PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 OBERLANDER WAY
FALLBROOK CA
92028-6507
US

IV. Provider business mailing address

282 OBERLANDER WAY
FALLBROOK CA
92028-6507
US

V. Phone/Fax

Practice location:
  • Phone: 214-514-8133
  • Fax:
Mailing address:
  • Phone: 214-514-8133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JULIE DOERRE
Title or Position: OWNER
Credential: DPT
Phone: 214-514-8133