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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

TESSA WAGGONER, PT
1701 SOLAR DR
STE. 155
OXNARD, CA93030-0134
 Phone: 805-604-4644
 Fax: 805-604-4434
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for TESSA WAGGONER · (Female)

NPI Number 1003033846
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/20/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 24735
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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