Individual
RACHEL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 S AMPHLETT BLVD, #108, SAN MATEO, CA 94402-2517
(650) 638-9142
Mailing address
1831 SAN LUIS DR, SAN LUIS OBISPO, CA 93401-2621
(805) 441-2354
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
291750
CA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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