THOMAS JACK LASATER

VAN NUYS, CA
NPI1659403483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-03-09
Last Update Date2012-04-05
Business Address
-- THOMAS JACK LASATER
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 323-691-7668
Mailing Address
-- THOMAS JACK LASATER
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 323-691-7668