Individual
MARY KATHEEN FALCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 SPRUCE ST, GRIDLEY, CA 95948-2216
(877) 366-2580
Mailing address
5625 GRAND VIEW CT, ROCKLIN, CA 95765-5010
(916) 737-6034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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