| Doctor Name: | JOSHUA N LACANLALE |
| NPI Number: | 1003145715 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 8754 |
| Business Practice Address: | 3035 S Ellsworth Rd Bldg 4, #128 Mesa, AZ - 852122160 |
| Business Phone Number: | 4803576500 |
| Business Fax Number: | 4803576515 |
| Mailing Address: | Po Box 32490, PHOENIX |
| State: | AZ |
| Postal Code: | 850642490 |
| Phone Number: | 6022304478 |
| Fax Number: | 6022309962 |
| NPI Enumeration Date: | 12/09/2009 |
| NPI Last Update Date: | 12/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 8754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |