Larsen Dunnicliff Physical Therapy Inc

NPI 1093840407 - Specialist - 174400000X

NPI Details
NPI 1093840407
Enumeration Date 02/23/2007
Last Updated 11/17/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RONALD K RONALD
Position OWNER
Phone (209) 473-1138
Fax (209) 473-1891
Practice Location
2087 GRAND CANAL BLVD
SUITE 17
STOCKTON CA, 95207-6651, US
Phone (209) 473-1138
Fax (209) 473-1891
Business Location
2087 GRAND CANAL BLVD
SUITE 17
STOCKTON CA, 95207-6651, US
Phone (209) 473-1138
Fax (209) 473-1891
Toxanomy
Taxonomy Code 174400000X
License State California
License Number PT66770
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According to our database, Larsen Dunnicliff Physical Therapy Inc NPI is 1093840407, taxonomy code is 174400000X and license number is PT66770, license state is located at California. Larsen Dunnicliff Physical Therapy Inc physically located at 2087 Grand Canal Blvd, Stockton CA, 95207-6651. NPI Number 1033115704 has the healthcare provider type.

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1093840407 NPI number is provided on an as is basis without warranty of any kind. 1093840407 is maintained by the National Plan & Provider Enumeration System. The contents of Larsen Dunnicliff Physical Therapy Inc are for informational purposes only.