Richard Alan Eagleston

NPI 1144316845 - Physical Therapist - 225100000X

NPI Details
NPI 1144316845
Gender Male
Enumeration Date 10/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1779 WOODSIDE RD
SUITE #102
REDWOOD CITY CA, 94061-3498, US
Phone (650) 780-9700
Fax
Business Location
1779 WOODSIDE RD
SUITE #102
REDWOOD CITY CA, 94061-3498, US
Phone (650) 780-9700
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT76790
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According to our database, Richard Alan Eagleston NPI is 1144316845, taxonomy code is 225100000X and license number is PT76790, license state is located at California. Richard Alan Eagleston physically located at 1779 Woodside Rd, Redwood City CA, 94061-3498. NPI Number Richard Alan Eagleston has the Individual type.

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1144316845 NPI number is provided on an as is basis without warranty of any kind. 1144316845 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Alan Eagleston are for informational purposes only.