Organization
EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
Active
Organization
EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
Active
Other names
PRN Poway Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROB PACE (AUTHORIZED OFFICIAL)
(760) 268-7500
Entity
Organization
Contact information
Practice address
15373 INNOVATION DR STE 220, SAN DIEGO, CA 92128-3425
(858) 592-8855
(858) 592-8858
Mailing address
5905 SEVERIN DR, LA MESA, CA 91942-3806
(619) 589-2606
(619) 464-0900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05343Z
BLUE SHIELD
CA
Enumeration date
06/01/2006
Last updated
07/08/2026
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