Individual
ANNA MARIA LUKASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
863 RIDGEVIE TERRACE, FREMONT, CA 94539
(510) 396-1603
Mailing address
2080 CLARK AVE, SANTA CLARA, CA 95051-1807
(916) 248-0797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT291478
CA
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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