Provider Demographics
NPI:1447679915
Name:ROBERTS-DALLI, CECILE INES (PT)
Entity type:Individual
Prefix:MRS
First Name:CECILE
Middle Name:INES
Last Name:ROBERTS-DALLI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CECILE
Other - Middle Name:INES
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:24396 VERENA CT
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-4764
Mailing Address - Country:US
Mailing Address - Phone:909-210-1106
Mailing Address - Fax:
Practice Address - Street 1:24396 VERENA CT
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-4764
Practice Address - Country:US
Practice Address - Phone:909-210-1106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT41145225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist