Individual
CHARLEEN TEGROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
18420 HART ST, RESEDA, CA 91335-4317
(818) 996-1081
(818) 996-1315
Mailing address
PO BOX 278, CASTAIC, CA 91310-0278
(818) 996-1081
(818) 996-1315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19986
CA
Other
Enumeration date
09/28/2006
Last updated
07/09/2007
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