Tessa Waggoner PT

NPI 1003033846 - Specialist - 174400000X

NPI Details
NPI 1003033846
Gender Female
Enumeration Date 04/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1701 SOLAR DR
STE. 155
OXNARD CA, 93030-0134, US
Phone (805) 604-4644
Fax (805) 604-4434
Business Location
1701 SOLAR DR.
STE. 155
OXNARD CA, 93030-0134, US
Phone (805) 604-4644
Fax (805) 604-4434
Toxanomy
Taxonomy Code 174400000X
License State California
License Number 24735
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According to our database, Mrs. Tessa Waggoner PT NPI is 1003033846, taxonomy code is 174400000X and license number is 24735, license state is located at California. Tessa Waggoner PT physically located at 1701 Solar Dr, Oxnard CA, 93030-0134. NPI Number Tessa Waggoner PT has the Individual type.

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1003033846 NPI number is provided on an as is basis without warranty of any kind. 1003033846 is maintained by the National Plan & Provider Enumeration System. The contents of Tessa Waggoner PT are for informational purposes only.