John Bob, D.P.T.
Physical Therapist, Orthopedic in Stockton, CA. Individual provider (NPI-1).
NPI number1720163249
StatusActive
Last updated in NPPESMay 8, 2017
Details
- NPI
- 1720163249
- Entity type
- Individual (NPI-1)
- Name
- John Bob
- Credential
- D.P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- May 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 23523 | CA | Yes |
Practice location
10200 Trinity PkwySuite 205
Stockton, CA 95219-7286
Phone 209-451-3920 · Fax 209-451-3902
Mailing address
534 E Pine StSuite A
Stockton, CA 95204-5536
Phone 209-463-5800 · Fax 209-463-5900
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