Individual
VADIM LAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11930 HERITAGE OAK PL STE 9, AUBURN, CA 95603-2458
(530) 887-8785
(530) 887-8112
Mailing address
2501 HAYDEN PKWY APT 821, ROSEVILLE, CA 95747-9191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49915
CA
Other
Enumeration date
09/03/2019
Last updated
11/27/2023
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