Provider Demographics
NPI:1134274244
Name:ULIT, DOROTHY DALINOC (PT)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:DALINOC
Last Name:ULIT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 GOLDEN RAIN RD
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-4907
Mailing Address - Country:US
Mailing Address - Phone:562-493-9581
Mailing Address - Fax:562-795-6397
Practice Address - Street 1:1661 GOLDEN RAIN RD
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-4907
Practice Address - Country:US
Practice Address - Phone:562-493-9581
Practice Address - Fax:562-795-6397
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist