Gostony, Lacey
Gostony, Lacey is an individual health care provider with primary practice located at 1057 Foothill Blvd , La Canada CA 91011-3249. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gostony, Lacey can be contacted via phone (818) 864-6732.Contact Information
Primary practice address
1057 Foothill Blvd
La Canada CA 91011-3249
Phone: (818) 864-6732
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT42771 | California |
Profile Details
| NPI number | 1700319142 |
|---|---|
| LBN Legal business name | Gostony, Lacey |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2017 |
| Last updated | Apr 4th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700319142 | NPPES |
| California | Other | PT42771 | PHYSICAL THERAPIST LICENSE |
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