Irene Vaughan Lacaillade in Santa Monica - Physical Therapist

Irene Vaughan Lacaillade - NPI 1134289259

Irene Vaughan Lacaillade is a Physical Therapist in Santa Monica, California. Irene Vaughan Lacaillade practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Irene Vaughan Lacaillade is 1134289259. The last update date is 2007-07-08.

Irene Vaughan Lacaillade's current location address is 1158 26th Street, Santa Monica, California. You can contact this provider via phone number 3104536166 and fax number 3104536154. The mailing address for Irene Vaughan Lacaillade is 1158 26th Street, Santa Monica, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Irene Vaughan Lacaillade
Address 1158 26th Street, Santa Monica, California
Phone Number 3104536166
Fax Number 3104536154
Sole Proprietor N
Credentials DPT

NPI Number Detail

NPI Number 1134289259
Provider Enumeration Date 2006-12-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1158 26th Street
City Santa Monica
State California (CA)
Post Code 90403
Phone Number 3104536166
Fax Number 3104536154

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 33131
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33131 CA LIC CA NUMBER

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FAQs about Irene Vaughan Lacaillade

What is the unique 10-digit identification code assigned to Irene Vaughan Lacaillade by the Centers for Medicare & Medicaid Services?

The Irene Vaughan Lacaillade has been issued the NPI (National Provider Identifier) 1134289259, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Irene Vaughan Lacaillade?

The Irene Vaughan Lacaillade is physically situated at 1158 26Th Street, in the city of Santa Monica, state of CA, with the postal code 90403.

What is Irene Vaughan Lacaillade's specialized field of practice, and what is the corresponding taxonomy classification code?

The Irene Vaughan Lacaillade's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.

When was the Irene Vaughan Lacaillade's 1134289259 issued?

The Irene Vaughan Lacaillade's 1134289259 was issued on 2006-12-11.

When was the information related to Irene Vaughan Lacaillade most recently updated or refreshed?

The details pertaining to the Irene Vaughan Lacaillade, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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