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NPI Code Detail

MEDICARE: ERIC C PRESZLER P.T.

MEDICARE:   ERIC C PRESZLER  P.T.
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 TherapistPT 36427CA

General Provider Information

NPI Number : 1972834513
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC C PRESZLER P.T.
Provider Business Mailing Address
First Line : 200 NEWPORT CENTER DR
Second Line : #213
City : NEWPORT BEACH
State : CA
Zip : 92660-7501
Country : US
Telephone Number : 949-644-1322
Fax Number : 949-644-0316
Provider Business Practice Location Address
First Line : 5772 BOLSA AVE
Second Line : STE 101
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1134
Country : US
Telephone Number : 714-897-3589
Fax Number : 714-897-1316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2010
Last Update Date : 03/29/2010

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Directions to “ ERIC C PRESZLER P.T.” Practice Location

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