Doctor Name: | MA CRIZEL LEGASPI |
NPI Number: | 1134523046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 41823 |
Business Practice Address: | 50225 Harrison St Suite 103 Coachella, CA - 922361527 |
Business Phone Number: | 7606988183 |
Business Fax Number: | 7606988185 |
Mailing Address: | 45910 Las Colinas, LA QUINTA |
State: | CA |
Postal Code: | 922537237 |
Phone Number: | 7606988183 |
Fax Number: | 7606988185 |
NPI Enumeration Date: | 10/21/2014 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 41823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |