MR. Michael Lawenko De La Paz, PT PHYSICAL THERAPIS

NPI #1083777130 in San Gabriel, California

Provider Information

NPI Number: 1083777130
Entity Type: Individual
Name: MR. Michael Lawenko De La Paz, PT PHYSICAL THERAPIS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT PHYSICAL THERAPIS
Enumeration Date: Dec 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 438 W LAS TUNAS AVE
City: San Gabriel
State: California
ZIP Code: 91776
Phone: (626) 570-6587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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