Individual ProviderRegielour HolgadoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1130 W La Palma Ave, Anaheim, CA 92801-2803(714) 772-7480(714) 362-5100PECOS EnrollmentBased on the most recent information from CMS, provider Regielour Holgado does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:59 PM.Profile DetailsProvider ID1184081689Provider TypeIndividualFull NameHolgado, RegielourCredentialPTGenderFemaleSole ProprietorNoEnumeration Date1/28/2016Last Updated1/28/2016Contact InformationPractice LocationPractice Address1130 W La Palma Ave, Anaheim, CA 92801-2803Phone(714) 772-7480FaxUnlisted FaxMailing LocationMailing Address6126 Mcintosh Ct, Corona, CA 92880-3122Phone(714) 362-5100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense28262California