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Individual

LUC FECTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
101 HODENCAMP RD STE 102, THOUSAND OAKS, CA 91360-5831
(805) 496-9944
(805) 496-9945
Mailing address
101 HODENCAMP RD STE 102, THOUSAND OAKS, CA 91360-5831
(805) 496-9944
(805) 496-9945

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
37011
CA
2251S0007X
Sports Physical Therapist
37011
CA
2251X0800X
Orthopedic Physical Therapist
Primary
37011
CA

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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