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Larsen Dunnicliff Physical Therapy Inc
Specialist in Stockton, California
NPI 1093840407

Larsen Dunnicliff Physical Therapy Inc is a Specialist based in Stockton, CA. Larsen Dunnicliff Physical Therapy Inc practices in Stockton, CA. The NPI Number for Larsen Dunnicliff Physical Therapy Inc is 1093840407 and holds a License No. PT66770 (California).

The current practice location address for Larsen Dunnicliff Physical Therapy Inc is 2087 Grand Canal Blvd, Stockton, CA and can be reached out via phone at 209-473-1138 and via fax at 209-473-1891.

Location: 2087 Grand Canal Blvd, Stockton, CA, 95207-6651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093840407
Provider Name
Larsen Dunnicliff Physical Therapy Inc
Credential
Provider Entity Type
Organization
Address
2087 Grand Canal Blvd, Stockton, CA, 95207-6651
Phone Number
209-473-1138
Fax Number
209-473-1891
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
650011088 01 CA RAILROAD MEDICARE
650008773 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2087 Grand Canal Blvd
City
Stockton
State
California
Zip
95207-6651
Phone Number
209-473-1138
Fax Number
209-473-1891
person
Provider Business Mailing Address Details
Address
2087 Grand Canal Blvd
City
Stockton
State
California
Zip
95207-6651
Phone Number
209-473-1138
Fax Number
209-473-1891
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT66770 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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