DOUGLAS ANTHONY LAVALLEY

FONTANA, CA
NPI1851440440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  21927)
Enumeration Date2007-01-10
Last Update Date2011-10-27
Business Address
Mr. DOUGLAS ANTHONY LAVALLEY PT
9985 SIERRA AVE MOB 2, FIRST FLOOR
FONTANA, CA 92335-6720
Phone number: 909-427-6991
Mailing Address
Mr. DOUGLAS ANTHONY LAVALLEY PT
8651 FOOTHILL BLVD 149
RANCHO CUCAMONGA, CA 91730-3308
Phone number: 909-920-3986