Individual
MS. AMY LUCKHAM COLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5720 STONERIDGE MALL RD, SUITE 390,, PLEASANTON, CA 94588-2828
(925) 847-5229
Mailing address
5720 STONERIDGE MALL RD, STE. 390, PLEASANTON, CA 94588-2828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 18735
CA
Other
Enumeration date
12/14/2006
Last updated
12/30/2021
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