Kathleen L Lagrandeur PT

NPI 1700192630 - Physical Therapist - 225100000X

NPI Details
NPI 1700192630
Gender Female
Enumeration Date 08/30/2010
Last Updated 08/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2111 S EL CAMINO REAL
STE 200
OCEANSIDE CA, 92054-9000, US
Phone (760) 729-5433
Fax
Business Location
2111 S EL CAMINO REAL
STE 200
OCEANSIDE CA, 92054-9000, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT10498
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According to our database, Kathleen L Lagrandeur PT NPI is 1700192630, taxonomy code is 225100000X and license number is PT10498, license state is located at California. Kathleen L Lagrandeur PT physically located at 2111 S El Camino Real, Oceanside CA, 92054-9000. NPI Number Kathleen L Lagrandeur PT has the Individual type.

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1700192630 NPI number is provided on an as is basis without warranty of any kind. 1700192630 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen L Lagrandeur PT are for informational purposes only.