Doctor Name: | MARK WEGENER |
NPI Number: | 1013070200 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT24624 |
Business Practice Address: | 25971 Pala Ste 110 Mission Viejo, CA - 926912742 |
Business Phone Number: | 9494659500 |
Business Fax Number: | |
Mailing Address: | 25971 Pala, Ste 110 MISSION VIEJO |
State: | CA |
Postal Code: | 926912742 |
Phone Number: | 9494659500 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT24624 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |