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NPI Code Detail

MEDICARE: LEA L THOMANN DPT, ATC, EMT, CSCS

MEDICARE: LEA L THOMANN DPT, ATC, EMT, CSCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134852OTHERCAPT LICENSE

General Provider Information

NPI Number : 1518119890
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA L THOMANN DPT, ATC, EMT, CSCS
Provider Business Mailing Address
First Line : 1042 N EL CAMINO REAL
Second Line : # B-351
City : ENCINITAS
State : CA
Zip : 92024-1322
Country : US
Telephone Number : 760-918-9200
Fax Number : 760-918-9203
Provider Business Practice Location Address
First Line : 3959 RUFFIN RD
Second Line : SUITE F
City : SAN DIEGO
State : CA
Zip : 92123-1830
Country : US
Telephone Number : 858-279-5570
Fax Number : 858-279-5303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2008
Last Update Date : 06/21/2016

Similar Medicare Providers

1134216294 — REHAB UNITED SPORTS MEDICINE & PHYSICAL THERAPY, INC.
Practice Location Address:
3959 RUFFIN RD , SUITE F
SAN DIEGO, CA
92123-1830
Practice Phone: 858-279-5570
Practice Fax: 858-279-5303
1104916287 — STEVEN MARK TASHJIAN MPT, CSCS
Practice Location Address:
3959 RUFFIN RD , STE F
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92123-1830
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Practice Fax: 858-279-5303
1083704167 — SEAN M HILL MPT, CSCS
Practice Location Address:
3959 RUFFIN RD , STE F
SAN DIEGO, CA
92123-1830
Practice Phone: 858-279-5570
Practice Fax: 858-279-5303
1225119472 — BRYAN S HILL PT
Practice Location Address:
3959 RUFFIN RD , STE F
SAN DIEGO, CA
92123-1830
Practice Phone: 858-279-5570
Practice Fax: 858-279-5303
1841495868 — MR. BENJAMIN T HARWOOD MSPT
Practice Location Address:
3959 RUFFIN RD STE F
SAN DIEGO, CA
92123-1830
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Practice Fax:
1447406764 — ARTURO VALLE DPT
Practice Location Address:
3959 RUFFIN RD , SUITE J
SAN DIEGO, CA
92123-1830
Practice Phone: 858-279-5570
Practice Fax: 858-279-5303

Directions to “ LEA L THOMANN DPT, ATC, EMT, CSCS” Practice Location

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