Healthcare Provider Details

I. General information

NPI: 1497730378
Provider Name (Legal Business Name): ANGELA MARIE TOGNONI PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 LEGION RD
BRAWLEY CA
92227
US

IV. Provider business mailing address

5962 LA PLACE CT STE 170
CARLSBAD CA
92008-8807
US

V. Phone/Fax

Practice location:
  • Phone: 760-351-7125
  • Fax: 760-351-7128
Mailing address:
  • Phone: 800-929-4776
  • Fax: 760-931-8370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT28570
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: