Individual
KEVIN LACONTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9513 VIA SALERNO, BURBANK, CA 91504-1227
(213) 703-9294
Mailing address
9513 VIA SALERNO, BURBANK, CA 91504-1227
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT17065
CA
Other
Enumeration date
05/25/2007
Last updated
11/04/2010
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