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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
5905 SEVERIN DR, LA MESA, CA 91942-3806
(619) 589-2606
(619) 464-0900
Mailing address
5905 SEVERIN DR, LA MESA, CA 91942-3806
(619) 589-2606
(619) 464-0900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ0532Z
BLUE SHIELD
CA
Enumeration date
06/01/2006
Last updated
02/13/2018
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