MR. Jared Spencer Vagy, PT

NPI #1003048174 in Santa Monica, California

Provider Information

NPI Number: 1003048174
Entity Type: Individual
Name: MR. Jared Spencer Vagy, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 21, 2009
Last Updated: Aug 21, 2009

Practice Location

Address: 719 SANTA MONICA BLVD
City: Santa Monica
State: California
ZIP Code: 90401-2601
Phone: (310) 260-9039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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