Individual
SUMMER SAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11406 LOMA LINDA DR, WEST ENTRANCE, LOMA LINDA, CA 92354-3711
(909) 558-6144
(909) 558-6002
Mailing address
11406 LOMA LINDA DR, WEST ENTRANCE, LOMA LINDA, CA 92354-3711
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
32144
CA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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