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Justin Dorn, DPT
NPI 1245776327 · on the registry since 2017
Practice
- Address
- 2038 Lake Tahoe Blvd
South Lake Tahoe, CA 96150 - Phone
- (530) 208-9910
- Fax
- (530) 285-2001
- Organisation at this address
- Pt Revolution Physical Therapy, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California