Engles, Mary Lydia

Engles, Mary Lydia is an sole proprietor health care provider with primary practice located at 4120 W Point Loma Blvd , San Diego CA 92110-5605. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Engles, Mary Lydia can be contacted via phone (619) 226-4131.

Contact Information

Primary practice address
4120 W Point Loma Blvd San Diego CA 92110-5605
Phone: (619) 226-4131
Fax: (619) 226-4124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6252 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT6252 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT6252 California

Profile Details

NPI number 1760447536
LBN Legal business name Engles, Mary Lydia
Credentials PT, MS, OCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Aug 5th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760447536 NPPES
California MEDICAID 00PT6252
California Other 070112
California Other 00PT62520

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