Kenneth Peter Maclean Dewart PT

NPI 1154425429 - Physical Therapist - 225100000X

NPI Details
NPI 1154425429
Gender Male
Enumeration Date 09/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2023 W VISTA WAY
SUITE 5
VISTA CA, 92083, US
Phone (760) 941-2000
Fax
Business Location
1060 PASSIFLORA AVE
ENCINITAS CA, 92024, US
Phone (760) 943-9295
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT15461
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According to our database, Mr. Kenneth Peter Maclean Dewart PT NPI is 1154425429, taxonomy code is 225100000X and license number is PT15461, license state is located at California. Kenneth Peter Maclean Dewart PT physically located at 2023 W Vista Way, Vista CA, 92083. NPI Number Kenneth Peter Maclean Dewart PT has the Individual type.

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1154425429 NPI number is provided on an as is basis without warranty of any kind. 1154425429 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Peter Maclean Dewart PT are for informational purposes only.