Lory M Teicheira PT

NPI 1114161635 - Physical Therapist - 225100000X

NPI Details
NPI 1114161635
Gender Female
Enumeration Date 04/28/2009
Last Updated 04/28/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
306 BASSETT ST
PETALUMA CA, 94952-2512, US
Phone (707) 769-0915
Fax (707) 769-9244
Business Location
306 BASSETT ST
PETALUMA CA, 94952-2512, US
Phone (707) 769-0915
Fax (707) 769-9244
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT10178
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According to our database, Ms. Lory M Teicheira PT NPI is 1114161635, taxonomy code is 225100000X and license number is PT10178, license state is located at California. Lory M Teicheira PT physically located at 306 Bassett St, Petaluma CA, 94952-2512. NPI Number Lory M Teicheira PT has the Individual type.

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1114161635 NPI number is provided on an as is basis without warranty of any kind. 1114161635 is maintained by the National Plan & Provider Enumeration System. The contents of Lory M Teicheira PT are for informational purposes only.