Doctor Name: | DR. LAUREN GASTALL |
NPI Number: | 1922494533 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 42463 |
Business Practice Address: | 29650 Bradley Rd Menifee, CA - 925866521 |
Business Phone Number: | 9516720455 |
Business Fax Number: | 9516720206 |
Mailing Address: | 40188 Village Rd Apt 621, TEMECULA |
State: | CA |
Postal Code: | 925913504 |
Phone Number: | 5083245409 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2015 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 42463 |
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 |