Provider Demographics
NPI:1235323155
Name:DOROIN, DOROTHY ANN BOTOR (PT)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY ANN
Middle Name:BOTOR
Last Name:DOROIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27643 OPEN CREST DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-1651
Mailing Address - Country:US
Mailing Address - Phone:917-459-5215
Mailing Address - Fax:
Practice Address - Street 1:27643 OPEN CREST DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-1651
Practice Address - Country:US
Practice Address - Phone:917-459-5215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0247001225100000X
CA33788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist