Provider Demographics
NPI:1962747568
Name:HAYES, DAVID THOMAS (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:THOMAS
Last Name:HAYES
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Gender:M
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:22995 MILL CREEK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1215
Mailing Address - Country:US
Mailing Address - Phone:949-707-5555
Mailing Address - Fax:949-707-5706
Practice Address - Street 1:22995 MILL CREEK DR
Practice Address - Street 2:SUITE A
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1215
Practice Address - Country:US
Practice Address - Phone:949-707-5555
Practice Address - Fax:949-707-5706
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPT 108542251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic