Individual
MARENA BOCTOR NAKHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
31271 NIGUEL RD STE J, LAGUNA NIGUEL, CA 92677-4135
(949) 443-5442
(949) 443-5436
Mailing address
31271 NIGUEL RD STE J, LAGUNA NIGUEL, CA 92677-4135
(949) 443-5442
(949) 443-5436
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
292549
CA
225100000X
Physical Therapist
PT29549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292549
PT LICENSE
CA
Enumeration date
12/22/2016
Last updated
11/14/2023
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