Individual
DIANA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2792 NAGLEE RD, TRACY, CA 95304-7309
(209) 433-6510
Mailing address
4341 ROMA LN, STOCKTON, CA 95206-6331
(209) 242-4876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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