Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT013938 | PA |
NPI | 1003001777 |
---|---|
Provider Name | Carmen L Luk |
First Address | San Diego, CA 92106-6050 |
Second Address | San Diego, CA 92106-6071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 07/05/2021 |