Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | CA |
NPI | 1013143247 |
---|---|
Provider Name | Lucia P Rael |
First Address | Sacramento, CA 95865-5228 |
Second Address | Sacramento, CA 95816-5238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2009 |
Last Update Date | 02/06/2009 |