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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
10225 AUSTIN DR, #204, SPRING VALLEY, CA 91978-1500
(619) 670-4567
(619) 670-0200
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05346Z
BLUE SHIELD
CA
Enumeration date
05/25/2006
Last updated
02/13/2018
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