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Michael Vangilder, PT

Physical Therapist in Encinitas, CA. Individual provider (NPI-1).

NPI number1750487690
StatusActive
Last updated in NPPESFeb 1, 2011

Details

NPI
1750487690
Entity type
Individual (NPI-1)
Name
Michael Vangilder
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2006
Last updated
Feb 1, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist26653CAYes

Practice location

1115 Oceanic Dr
Encinitas, CA 92024-4008

Phone 760-803-9750 · Fax 858-720-0992

Mailing address

1115 Oceanic Dr
Encinitas, CA 92024-4008

Phone 760-803-9750 · Fax 858-720-0992

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