NPI 1003033846
Tessa Waggoner, PT
Practice location
- Address
- 77 Rolling Oaks Dr STE 100, Thousand Oaks, CA 91361-1017
- Phone
- (805) 285-3562
- Fax
- (805) 364-4947
- Mailing address
- 659 Pedro St, Camarillo, CA 93010-7739
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1003033846
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Apr 2007
- Record last updated
- 15 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.