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Charlene Joy Umayam Lava, PT, DPT

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

NPI number1235784232
StatusActive
Last updated in NPPESAug 6, 2019

Details

NPI
1235784232
Entity type
Individual (NPI-1)
Name
Charlene Joy Umayam Lava
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2019
Last updated
Aug 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist296261CAYes

Practice location

77 N San Mateo Dr Ste 2
San Mateo, CA 94401-2853

Phone 650-343-5678

Mailing address

124 Park Blvd Apt 1
Millbrae, CA 94030-1254

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