Cornelius, Dakota Rose

Cornelius, Dakota Rose is an individual health care provider with primary practice located at 18540 E San Tan Blvd Ste 101 , Queen Creek AZ 85142-2203. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Cornelius, Dakota Rose can be contacted via phone (480) 677-8202.

Contact Information

Primary practice address
18540 E San Tan Blvd Ste 101 Queen Creek AZ 85142-2203
Phone: (480) 677-8202
Fax: (480) 677-8203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 014046 Arizona

Profile Details

NPI number 1073150090
LBN Legal business name Cornelius, Dakota Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2019
Last updated Dec 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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