Individual provider · Type 1 NPI

Wendy Eda Shaw Dahl, MPT

Specialist · San Luis Obispo, CA

NPI number 1760517023 Active

Practice location

1248 Laurel Ln
San Luis Obispo, CA 93401-5860

Fax (805) 544-6262

Mailing address

PO Box 12046
San Luis Obispo, CA 93406-2046

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT26044 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760517023

Wendy Eda Shaw Dahl, MPT's National Provider Identifier is 1760517023, issued on Feb 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.