MRS. Lourdes Corona Balmaseda-Chan, P.T.

NPI #1114063922 in Vallejo, California

Provider Information

NPI Number: 1114063922
Entity Type: Individual
Name: MRS. Lourdes Corona Balmaseda-Chan, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jan 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1761 BROADWAY ST
City: Vallejo
State: California
ZIP Code: 94589-2226
Phone: (707) 645-2720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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