Individual
VICENTE PAOLO LACSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1230 E WINDSOR RD, GLENDALE, CA 91205-2656
(310) 623-7403
Mailing address
635 PROSPECT AVE APT A13, SOUTH PASADENA, CA 91030-2464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53206
CA
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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