Doctor Name: | JAMES B VARGO |
NPI Number: | 1821347576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT39166 |
Business Practice Address: | 4211 Tierra Rejada Rd Moorpark, CA - 930213772 |
Business Phone Number: | 8055238076 |
Business Fax Number: | 8055238796 |
Mailing Address: | 27125 Sierra Hwy, Ste 203 CANYON COUNTRY |
State: | CA |
Postal Code: | 913515428 |
Phone Number: | 6612509940 |
Fax Number: | 6612509959 |
NPI Enumeration Date: | 09/07/2012 |
NPI Last Update Date: | 09/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT39166 |
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 |