Paul Robert Addison Jr., MPT, CSCS
Physical Therapist, Orthopedic in Laguna Hills, CA. Individual provider (NPI-1).
NPI number1487829933
StatusActive
Last updated in NPPESFeb 20, 2009
Details
- NPI
- 1487829933
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul Robert Addison Jr.
- Credential
- MPT, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2008
- Last updated
- Feb 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 34602 | CA | Yes |
Practice location
26941 Cabot Rd#103
Laguna Hills, CA 92653-7030
Phone 949-916-1402 · Fax 949-916-1403
Mailing address
26941 Cabot Rd#103
Laguna Hills, CA 92653-7030
Phone 949-916-1402 · Fax 949-916-1403
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