Basic Information
Provider Information
NPI: 1710345947
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DORSEY-ORESTO
FirstName: FRANCESCA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 42211 N 41ST DR STE 145
Address2:  
City: ANTHEM
State: AZ
PostalCode: 850863812
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2535 KETTNER BLVD STE 1A4
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921011252
CountryCode: US
TelephoneNumber: 6196150701
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/02/2016
LastUpdateDate: 10/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOTH-008804AZY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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