Dakota Rose Cornelius

NPI #1073150090 in Queen Creek, Arizona

Provider Information

NPI Number: 1073150090
Entity Type: Individual
Name: Dakota Rose Cornelius
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 9, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: 18540 E SAN TAN BLVD STE 101
City: Queen Creek
State: Arizona
ZIP Code: 85142-2203
Phone: (480) 677-8202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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