Individual
MR. ANTHONY MARIANO PAZZAGLIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5 HARRIS CT, BUILDING T, SUITE 102, MONTEREY, CA 93940-5750
(831) 372-3579
(831) 372-3779
Mailing address
PO BOX 222342, CARMEL, CA 93922-2342
(831) 372-3579
(831) 372-3779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11368096
CAQH PROVIDER ID
—
01
—
23205
LICENSE
CA
Enumeration date
08/10/2005
Last updated
07/09/2007
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