NPI 1104125913

Mark Lauritis

Practitioner Physical Therapy Assistant Fullerton, CA

Practice location

Address: 2222 N. Harbor Blvd., Fullerton, CA 92835
Phone: (714) 992-5701
Mailing address: 11476 Foxglove Ln, Corona, CA 92880-9444

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT5867 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1104125913
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2011
Record last updated: 18 Mar 2011

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.