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NPI Code Detail

MEDICARE: EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES

MEDICARE: EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
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

General Provider Information

NPI Number : 1952348674
Entity Type Code : Organization
Provider Name (Legal Business Name) : EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
Provider Business Mailing Address
First Line : 317 N EL CAMINO REAL
Second Line : #210
City : ENCINITAS
State : CA
Zip : 92024-2811
Country : US
Telephone Number : 760-634-0248
Fax Number : 760-634-1782
Provider Business Practice Location Address
First Line : 4435 EASTGATE MALL
Second Line : #120
City : SAN DIEGO
State : CA
Zip : 92121-1982
Country : US
Telephone Number : 858-587-8669
Fax Number : 858-587-8675
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : SEAN MICHAEL MCKEOWN
Credential :
Telephone Number : 619-295-3000
Provider Enumeration Date : 06/01/2006
Last Update Date : 03/19/2018

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Directions to “EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES ” Practice Location

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