Evolve Physical Therapy PC
Clinic/Center, Physical Therapy in Stockton, CA. Organization (NPI-2).
NPI number1710474366
StatusActive
Last updated in NPPESApr 19, 2018
Details
- NPI
- 1710474366
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolve Physical Therapy PC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2018
- Last updated
- Apr 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 291494 | CA | Yes |
Practice location
3200 E Eight Mile RdStockton, CA 95212-9414
Phone 209-817-2017
Mailing address
460 N Tuxedo AveStockton, CA 95204-5238
Authorized official
Rebecca Marie Turner
Owner
2098172017
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All 11 Physical Therapy Clinic/Center providers in Stockton · All 11,041 providers in Stockton
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