Individual
MR. PAUL ROBERT ADDISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT, CSCS
Contact information
Practice address
26941 CABOT RD, #103, LAGUNA HILLS, CA 92653-7030
(949) 916-1402
(949) 916-1403
Mailing address
26941 CABOT RD, #103, LAGUNA HILLS, CA 92653-7030
(949) 916-1402
(949) 916-1403
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
34602
CA
Other
Enumeration date
04/25/2008
Last updated
02/20/2009
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