Most Relevant Information
Provider Data
| NPI Number: | 1003048174 |
| Provider Name: | JARED SPENCER VAGY PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 35837 |
Most Important Dates
| Enumeration Date: | 08/21/2009 |
| Last Updated: | 08/21/2009 |
Provider Practice Location
719 SANTA MONICA BLVD
SANTA MONICA
CA
904012601
Practice Location Phone/Fax
| Phone: | 3102609039 |
| Fax: |
Provider Mailing Location
632 N CATALINA ST
BURBANK
CA
915053245
Provider Mailing Phone/Fax
| Phone: | 5034530746 |
| Fax: |