Individual provider · Type 1 NPI

Edwin Kenneth Legarreta

Rehabilitation Practitioner · Van Nuys, CA

NPI number 1184758252 Active

Practice location

6931 Van Nuys Blvd, 2nd Floor
Van Nuys, CA 91405-3937

Fax (818) 909-9980

Mailing address

20159 Cohasset St
Winnetka, CA 91306-2961

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1184758252

Edwin Kenneth Legarreta's National Provider Identifier is 1184758252, issued on Mar 14, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Van Nuys, CA. The record was last updated on Jul 8, 2007.