Basic Information
| Provider Information | |||||||||
| NPI: | 1801903117 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | JEANNE M. SINGLETON-DORAN, RPT | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | COAST PHYSICAL THERAPY | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 MONARCH BAY PLZ STE 110 | ||||||||
| Address2: | |||||||||
| City: | DANA POINT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926293440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9496618886 | ||||||||
| FaxNumber: | 9496615662 | ||||||||
| Practice Location | |||||||||
| Address1: | 3 MONARCH BAY PLZ STE 110 | ||||||||
| Address2: | |||||||||
| City: | DANA POINT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926293440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9496618886 | ||||||||
| FaxNumber: | 9496615662 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2006 | ||||||||
| LastUpdateDate: | 06/20/2008 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | DORAN | ||||||||
| AuthorizedOfficialFirstName: | JEANNE | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 9496618886 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | P.T. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT9494 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.