Organization
USAF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DE L LEBRON PHYSICAL THERAPIST (ELEMENT CHIEF)
(707) 423-7977
Entity
Organization
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, FAIRFIELD, CA 94535-1809
(707) 423-7899
Mailing address
1300 BURTON DR, APT 131, VACAVILLE, CA 95687-3526
(707) 635-8801
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
00726
PR
Other
Enumeration date
11/30/2005
Last updated
11/12/2008
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