Individual
LACEY POPICHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 LAGUNA ST, SAN FRANCISCO, CA 94123-2271
(415) 202-0300
Mailing address
191 DUBOCE AVE APT 203, SAN FRANCISCO, CA 94103-1167
(831) 235-1859
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
19322
CA
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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