Individual
JERVIS PATRICK ESTRELLA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
108 CANYON ROCK RD APT A, PALM SPRINGS, CA 92264-0541
(310) 367-7045
Mailing address
108 CANYON ROCK RD APT A, PALM SPRINGS, CA 92264-0541
(310) 367-7045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54460
CA
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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