Provider Demographics
NPI:1902105000
Name:WARNER, THOMAS LOWELL (PT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:LOWELL
Last Name:WARNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:10900 WARNER AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3846
Mailing Address - Country:US
Mailing Address - Phone:714-964-3337
Mailing Address - Fax:714-964-8806
Practice Address - Street 1:10900 WARNER AVE STE 111
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3846
Practice Address - Country:US
Practice Address - Phone:714-964-3337
Practice Address - Fax:714-964-8806
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA376502251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic