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TERESA ELISENDA AAGAARD P.T.A.
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1386924710
Individual Registrant: TERESA ELISENDA AAGAARD P.T.A.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6000 SANTA ROSA RD CAMARILLO, CA 93012-7101 US
Tel: 805-388-8086 Fax: --
Tel: 805-388-8086 Fax: --
Contact information for business:
6334 CORTE LUCINDA CAMARILLO, CA 93012-8199 US
Tel: 727-808-3585 Fax: --
Tel: 727-808-3585 Fax: --
Registration Information:
NPI: 1386924710
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | CA | 9593 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CALIFORNIA PHYSICAL THERAPY BOARD | 9593 | CA | 01 |
