JEFFREY L FRACALOSY

LAGUNA BEACH REHAB, INC.

Dr JEFFREY L FRACALOSY is a male medical professional, specializing in Physical Therapy. He graduated in 2016.

Contact

LAGUNA BEACH REHAB, INC.

2600 E COAST HWY 150
LAGUNA BEACH REHAB INC
CORONA DEL MAR
CA
926252144

Tel: 9496402121

JEFFREY L FRACALOSY Information

Npi 1245789080
Pac Id 2567365281
Professional Enrollment Id I20171213000386
Last Name FRACALOSY
First Name JEFFREY
Middle Name L
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAGUNA BEACH REHAB, INC.
Group Practice Pac Id 4688686538
Number Of Group Practice Members 7
Line 1 Street Address 2600 E COAST HWY 150
Line 2 Street Address LAGUNA BEACH REHAB INC
Marker Of Address Line 2 Suppression
City CORONA DEL MAR
State CA
Zip Code 926252144
Phone Number 9496402121
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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