Individual
DR. JOAN TERRY PLEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DC
Contact information
Practice address
22431 GOLDRUSH, LAKE FOREST, CA 92630-4308
(949) 380-1445
(949) 380-7723
Mailing address
22431 GOLDRUSH, LAKE FOREST, CA 92630-4308
(949) 380-1445
(949) 380-7723
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
DC16812
CA
111NX0800X
Orthopedic Chiropractor
DC16812
CA
2251E1200X
Ergonomics Physical Therapist
PT7100
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT7100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PT71000
BLUE SHIELD
CA
Enumeration date
11/01/2006
Last updated
05/19/2015
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