Individual provider · Type 1 NPI
Dorian Vincent de Paule
Physical Therapy Assistant · Lakeport, CA
Practice location
925 Bevins Ct
Lakeport, CA 95453-9754
Mailing address
PO Box 2402
Willits, CA 95490-2402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 48342 (CA) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1275415622
Dorian Vincent de Paule's National Provider Identifier is 1275415622, issued on Jul 24, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lakeport, CA. The record was last updated on Jul 24, 2025.