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Organization
EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
Active
Organization
EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MICHAEL MCKEOWN (AUTHORIZED OFFICIAL)
(619) 295-3000
Entity
Organization
Contact information
Practice address
4060 4TH AVE, #206, SAN DIEGO, CA 92103-2116
(619) 299-5246
(619) 299-5751
Mailing address
317 N EL CAMINO REAL, #210, ENCINITAS, CA 92024-2811
(760) 634-0248
(760) 634-1782
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 6689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05345Z
BLUE SHIELD
CA
Enumeration date
06/01/2006
Last updated
02/16/2018
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