Individual
ALLISON MEGAN HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3215 N CALIFORNIA ST STE 4, STOCKTON, CA 95204-3433
(209) 464-6016
Mailing address
10913 DUTCH TULIP DR, STOCKTON, CA 95209-3777
(707) 696-8434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39683
CA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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