MRS. Tessa Waggoner, PT
NPI #1003033846 in Thousand Oaks, California
Provider Information
- NPI Number
- 1003033846
- Entity Type
- Individual
- Name
- MRS. Tessa Waggoner, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- PT
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 77 ROLLING OAKS DR STE 100
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91361-1017
- Phone
- (805) 285-3562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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