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General NPI Number Information
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NPI Number | 1295247872
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Entity Type | Individual
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Provider Name | DEAN ACLAN
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Gender | Male
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 800 W VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92025-2557
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Country | US
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Telephone | 619-279-7764
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 VIA SANTALINA
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City | SAN MARCOS
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State | CA
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Zip | 92069-4207
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OT7860
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7860
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License Number State | CA
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