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1104352996
LYDIA TUVESON
SAN RAFAEL, CA
NPI
1104352996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA 3458)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- LYDIA TUVESON PT
850 DEL GANADO RD
SAN RAFAEL, CA 94903-2310
Phone number: 415-479-2203
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Mailing Address
-- LYDIA TUVESON PT
426 VIA DEL PLANO
NOVATO, CA 94949-5928
Phone number: 415-883-4928
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