Individual
MRS. LEONICA MAGLASANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1135 MILL WAY, STOCKTON, CA 95209-4369
(209) 478-7992
Mailing address
1135 MILL WAY, STOCKTON, CA 95209
(209) 478-7992
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
34127
CA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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