SUSAN JEAN LAVANAWAY

MARTINEZ, CA
NPI1265893325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT16771)
Enumeration Date2016-03-16
Last Update Date2016-03-16
Business Address
-- SUSAN JEAN LAVANAWAY PT
521 EAGLE NEST DR
MARTINEZ, CA 94553-5913
Phone number: 650-201-3667
Mailing Address
-- SUSAN JEAN LAVANAWAY PT
521 EAGLE NEST DR
MARTINEZ, CA 94553-5913
Phone number: