MEDICARE: GAIL A DOTY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT11171	CA

General Provider Information

NPI Number	:	1992725063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL A DOTY P.T.

Provider Business Mailing Address
First Line	:	1002 LIVE OAK BLVD
Second Line	:	SUITE C
City	:	YUBA CITY
State	:	CA
Zip	:	95991-4028
Country	:	US
Telephone Number	:	530-674-9100
Fax Number	:	530-674-9179

Provider Business Practice Location Address
First Line	:	1002 LIVE OAK BLVD
Second Line	:	SUITE C
City	:	YUBA CITY
State	:	CA
Zip	:	95991-4028
Country	:	US
Telephone Number	:	530-674-9100
Fax Number	:	530-674-9179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	12/02/2011

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Directions to “ GAIL A DOTY P.T.” Practice Location

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