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Kristopher Pallesen, PTA
Specialist in Stockton, California
NPI 1154791572

Kristopher Pallesen is a Specialist based in Stockton, CA. Kristopher Pallesen practices in Stockton, CA and has the professional credentials of PTA. The NPI Number for Kristopher Pallesen is 1154791572 and holds a License No. 11071 (California).

The current practice location address for Kristopher Pallesen is 5910 Pacific Ave, Stockton, CA and can be reached out via phone at 209-475-1000. You can also correspond with Kristopher Pallesen through the mailing address at 5910 PACIFIC AVE, STOCKTON, CA - 95207-4704 (mailing address contact number: ).

Location: 5910 Pacific Ave, Stockton, CA, 95207-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154791572
Provider Name
Kristopher Pallesen
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
5910 Pacific Ave, Stockton, CA, 95207-4704
Phone Number
209-475-1000
Fax Number
Provider Enumeration Date
09/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5910 Pacific Ave
City
Stockton
State
California
Zip
95207-4704
Phone Number
209-475-1000
Fax Number
person
Provider Business Mailing Address Details
Address
5910 Pacific Ave
City
Stockton
State
California
Zip
95207-4704
Phone Number
209-475-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11071 (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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