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Individual

MARY ANN P LACSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2490 SAND CREEK RD, BRENTWOOD, CA 94513-7058
(925) 939-8585
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
(925) 933-2709

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
39800
CA
2251X0800X
Orthopedic Physical Therapist
Primary
39800
CA

Other

Enumeration date
01/09/2013
Last updated
03/06/2024
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