Individual
LANCE GEORGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-7302
(760) 934-1779
Mailing address
PO BOX 660, 85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-7302
(760) 934-1779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT25858
CA
2251E1200X
Ergonomics Physical Therapist
PT25858
CA
2251G0304X
Geriatric Physical Therapist
PT25858
CA
2251H1200X
Hand Physical Therapist
PT25858
CA
2251N0400X
Neurology Physical Therapist
PT25858
CA
2251P0200X
Pediatric Physical Therapist
PT25858
CA
2251S0007X
Sports Physical Therapist
PT25858
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT25858
CA
Other
Enumeration date
02/13/2007
Last updated
09/11/2025
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