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Contact Information

MARK LAURITIS
2222 N. HARBOR BLVD.
FULLERTON, CA92835
 Phone: 714-992-5701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for MARK LAURITIS · (Male)

NPI # 1104125913
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2011
Last updated 03/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # AT5867
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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