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Mr. Thomas Wayne Dolan, CO
Orthotist in Orange, California
NPI 1245461771

Thomas Wayne Dolan is a Orthotist based in Orange, CA. Thomas Wayne Dolan practices in Orange, CA and has the professional credentials of CO. The NPI Number for Thomas Wayne Dolan is 1245461771 and holds a License No. CO001146 (California).

The current practice location address for Thomas Wayne Dolan is 623 N Main St, Orange, CA and can be reached out via phone at 714-937-1998 and via fax at 714-937-1994. You can also correspond with Thomas Wayne Dolan through the mailing address at 623 N MAIN ST, ORANGE, CA - 92868-1103 (mailing address contact number: 714-937-1998).

Location: 623 N Main St, Orange, CA, 92868-1103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245461771
Provider Name
Thomas Wayne Dolan
Credential
CO
Provider Entity Type
Individual
Gender
Male
Address
623 N Main St, Orange, CA, 92868-1103
Phone Number
714-937-1998
Fax Number
714-937-1994
Provider Enumeration Date
07/31/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XA0011460 01 CA MEDI-CAL PROVIDER#
200114 01 CA CMS NUMBER
institution
Provider Business Practice Location Address Details
Address
623 N Main St
City
Orange
State
California
Zip
92868-1103
Phone Number
714-937-1998
Fax Number
714-937-1994
person
Provider Business Mailing Address Details
Address
623 N Main St
City
Orange
State
California
Zip
92868-1103
Phone Number
714-937-1998
Fax Number
714-937-1994
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CO001146 (California)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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