Individual
CELESTE T VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18700 BEACH BLVD, 120, HUNTINGTON BEACH, CA 92648-2030
(714) 962-6760
(714) 962-5961
Mailing address
18700 BEACH BLVD, 120, HUNTINGTON BEACH, CA 92648-2030
(714) 962-6760
(714) 962-5961
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 35311
CA
2251P0200X
Pediatric Physical Therapist
Primary
35311
CA
Other
Enumeration date
01/14/2009
Last updated
11/30/2021
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