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Lauren Vicik

Physical Therapist in San Jose, CA. Individual provider (NPI-1).

NPI number1013663814
StatusActive
Last updated in NPPESMar 1, 2022

Details

NPI
1013663814
Entity type
Individual (NPI-1)
Name
Lauren Vicik
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 1, 2022
Certification date
Feb 28, 2022
Last updated
Mar 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

270 International Cir
San Jose, CA 95119-1130

Phone 508-423-1381

Mailing address

1032 Depot Rd
Boxborough, MA 01719-1119

Phone 508-423-1381

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