Doctor Name: | SETH EGGE |
NPI Number: | 1700151529 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 38850 |
Business Practice Address: | 5905 Severin Dr La Mesa, CA - 919423806 |
Business Phone Number: | 6195892606 |
Business Fax Number: | 6194640900 |
Mailing Address: | 10840 Scripps Ranch Blvd, #107 SAN DIEGO |
State: | CA |
Postal Code: | 921316023 |
Phone Number: | 6195892606 |
Fax Number: | 6194640900 |
NPI Enumeration Date: | 03/12/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 38850 |
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 |