| Doctor Name: | TYLER DUANE DORREL |
| NPI Number: | 1093119729 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 41630 |
| Business Practice Address: | 1800 E Lambert Rd Suite 220 Brea, CA - 928214370 |
| Business Phone Number: | 7142565074 |
| Business Fax Number: | 7142560770 |
| Mailing Address: | 1800 E Lambert Rd, Suite 220 BREA |
| State: | CA |
| Postal Code: | 928214370 |
| Phone Number: | 7142565074 |
| Fax Number: | 7142560770 |
| NPI Enumeration Date: | 10/08/2014 |
| NPI Last Update Date: | 12/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 41630 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |