Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 28236 | CA |
NPI | 1003001892 |
---|---|
Provider Name | Mr. David Jamea Lokey |
First Address | Poway, CA 92064-3813 |
Second Address | Poway, CA 92064-3813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2007 |
Last Update Date | 13/09/2007 |