Doctor Name: | MARY ANN P LACSON |
NPI Number: | 1851638928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 39800 |
Business Practice Address: | 3 S Linden Ave South San Francisco, CA - 940806407 |
Business Phone Number: | 6505835420 |
Business Fax Number: | 6505831398 |
Mailing Address: | 3 S Linden Ave, SOUTH SAN FRANCISCO |
State: | CA |
Postal Code: | 940806407 |
Phone Number: | 6505835420 |
Fax Number: | 6505831398 |
NPI Enumeration Date: | 01/09/2013 |
NPI Last Update Date: | 01/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 39800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |