Individual
LAURA BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
255 N WHITE RD STE 200C, SAN JOSE, CA 95127-1966
(408) 503-7604
Mailing address
1091 ROEWILL DR APT 3, SAN JOSE, CA 95117-3237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA47896
CA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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