Jason Lacanlale
Jason Lacanlale is a Physical Therapist in Fremont, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
1895 Mowry Ave Ste 115Fremont, CA 94538-1766
Phone: (510) 790-3213
Fax: (510) 790-3337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT297570 (CA) |
|---|
Record details
| NPI number | 1700421120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 8, 2019 |
| Last updated in NPPES | April 12, 2021 |
| Certification date | April 12, 2021 |
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