Healthcare Provider Details

I. General information

NPI: 1598992976
Provider Name (Legal Business Name): PATRICIA F. LUNA-MASSEY P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 06/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 MARKET STREET SUITE 909
SAN FRANCISCO CA
94102
US

IV. Provider business mailing address

870 MARKET STREET SUITE 909
SAN FRANCISCO CA
94102
US

V. Phone/Fax

Practice location:
  • Phone: 415-399-0693
  • Fax: 415-399-0694
Mailing address:
  • Phone: 415-399-0693
  • Fax: 415-399-0694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License NumberPT9896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: