Individual
BYRON KERMIT LEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
965 E YOSEMITE AVE STE 14, MANTECA, CA 95336-5943
(209) 823-3736
Mailing address
965 E YOSEMITE AVE STE 14, MANTECA, CA 95336-5943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20422
CA
Other
Enumeration date
07/13/2006
Last updated
12/11/2009
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