| Doctor Name: | ENRICO TEJO LEGASPI |
| NPI Number: | 1326383258 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT 39644 |
| Business Practice Address: | 10020 Indiana Ave Ste. 4 Riverside, CA - 925035477 |
| Business Phone Number: | 9516372320 |
| Business Fax Number: | 9516372321 |
| Mailing Address: | 24630 Washington Ave, Ste. 200 MURRIETA |
| State: | CA |
| Postal Code: | 925626131 |
| Phone Number: | 9516969353 |
| Fax Number: | 9519737216 |
| NPI Enumeration Date: | 12/04/2012 |
| NPI Last Update Date: | 05/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 39644 |
| 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 |