Individual
LYDIA TUVESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
850 DEL GANADO RD, SAN RAFAEL, CA 94903-2310
(415) 479-2203
Mailing address
426 VIA DEL PLANO, NOVATO, CA 94949-5928
(415) 883-4928
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3458
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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