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Individual

SEAN DAVID LUZANIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4722
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029097
OMAP
OR
Enumeration date
09/28/2006
Last updated
07/08/2007
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