Provider Demographics
NPI:1174841803
Name:LAGANA, KRISTINA M (DPT)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:M
Last Name:LAGANA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:15405 LOS GATOS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2500
Mailing Address - Country:US
Mailing Address - Phone:408-444-7422
Mailing Address - Fax:408-498-5842
Practice Address - Street 1:15405 LOS GATOS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2500
Practice Address - Country:US
Practice Address - Phone:408-444-7422
Practice Address - Fax:408-498-5842
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT352132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic