Mr. Jared Spencer Vagy
Physical Therapist
719 Santa Monica Blvd
Santa Monica
, California 90401-2601
Mr. Jared Spencer Vagy
Physical Therapist
719 Santa Monica Blvd
Santa Monica
, California 90401-2601
(503) 453-0746
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mr. Jared Spencer Vagy
- 632 N Catalina St
- Burbank, CA
- Zip : 91505-3245
- Phone : (503) 453-0746
Second Address
- Mr. Jared Spencer Vagy
- 719 Santa Monica Blvd
- Santa Monica, CA
- Zip : 90401-2601
- Phone : (310) 260-9039
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 35837 | CA |
National Provider Identifier
| NPI | 1003048174 |
|---|---|
| Provider Name | Mr. Jared Spencer Vagy |
| First Address | Burbank, CA 91505-3245 |
| Second Address | Santa Monica, CA 90401-2601 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2009 |
| Last Update Date | 21/08/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.