Individual
TERESA ELISENDA AAGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
6000 SANTA ROSA RD, CAMARILLO, CA 93012-7101
(805) 388-8086
Mailing address
6334 CORTE LUCINDA, CAMARILLO, CA 93012-8199
(727) 808-3585
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9593
CALIFORNIA PHYSICAL THERAPY BOARD
CA
Enumeration date
08/16/2011
Last updated
08/16/2011
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