Provider Demographics
NPI:1205202876
Name:LAMONT, PAULA MAE (DPT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:MAE
Last Name:LAMONT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:546 CATALINA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-3259
Mailing Address - Country:US
Mailing Address - Phone:619-501-9037
Mailing Address - Fax:619-501-9038
Practice Address - Street 1:227 N EL CAMINO REAL
Practice Address - Street 2:SUITE 103
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2807
Practice Address - Country:US
Practice Address - Phone:760-230-2316
Practice Address - Fax:760-230-2317
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist