MEDICARE: MRS. REGINA R ALBALADEJO PT, MSPT, WCS

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
1	225100000X	Physical Therapist	PT 29143	CA

General Provider Information

NPI Number	:	1588656532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REGINA R ALBALADEJO PT, MSPT, WCS

Provider Business Mailing Address
First Line	:	200 MERCY CIRCLE
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92055-5191
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MERCY CIRCLE
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92055-5191
Country	:	US
Telephone Number	:	760-719-3387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	03/07/2025

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