Individual
TOBIAS DE LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 BAILY CT, CARSON CITY, NV 89703-7335
(775) 544-5822
Mailing address
1015 BAILY CT, CARSON CITY, NV 89703-7335
(775) 544-5822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0335
NV
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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