Doctor Name: | JOSEPH ANDREW BLANSCET |
NPI Number: | 1528102217 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT18997 |
Business Practice Address: | 24331 El Toro Rd Suite 200 Laguna Woods, CA - 926372752 |
Business Phone Number: | 9495863200 |
Business Fax Number: | 9499002158 |
Mailing Address: | 24331 El Toro Rd, Suite 200 LAGUNA WOODS |
State: | CA |
Postal Code: | 926372752 |
Phone Number: | 9495863200 |
Fax Number: | 9499002158 |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT18997 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |