Individual
WILLIAM LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39201 STATE ST, FREMONT, CA 94538-1437
(510) 791-5521
Mailing address
1095 MAXEY DR, SAN JOSE, CA 95132-2868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10535
PTA LICENSE
CA
Enumeration date
01/06/2015
Last updated
01/06/2015
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