Provider Demographics
NPI:1437740495
Name:DOERRE PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:DOERRE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOERRE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:214-514-8133
Mailing Address - Street 1:282 OBERLANDER WAY
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-6507
Mailing Address - Country:US
Mailing Address - Phone:214-514-8133
Mailing Address - Fax:
Practice Address - Street 1:282 OBERLANDER WAY
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-6507
Practice Address - Country:US
Practice Address - Phone:214-514-8133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty