Individual
DR. JEFFREY FRACALOSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2600 E COAST HWY, CORONA DEL MAR, CA 92625-2117
(949) 640-2121
Mailing address
509 DE ANZA DR, CORONA DEL MAR, CA 92625-2606
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0548261
CA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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