Organization
CHARLEEN TEGROEN PT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLEEN TEGROEN PT (PRESIDENT/CEO)
(805) 418-0225
Entity
Organization
Contact information
Practice address
2080 NEWBURY RD, NEWBURY PARK, CA 91320-3387
(805) 418-0225
Mailing address
326 POPLAR CREST AVE, THOUSAND OAKS, CA 91320-4060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19986
CA
Other
Enumeration date
11/16/2017
Last updated
11/17/2017
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