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San Joaquin County Ccs
Pediatric Physical Therapist in Manteca, California
NPI 1639264005

San Joaquin County Ccs is a Pediatric Physical Therapist based in Stockton, CA and is specialized in Pediatrics. San Joaquin County Ccs practices in Manteca, CA. The NPI Number for San Joaquin County Ccs is 1639264005 and holds a License No. PT23512 (California).

The current practice location address for San Joaquin County Ccs is 1810 Hoyt Ln, Manteca, CA and can be reached out via phone at 209-982-5159.

Location: 1810 Hoyt Ln, Manteca, CA, 95201-2009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639264005
Provider Name
San Joaquin County Ccs
Credential
Provider Entity Type
Organization
Address
1810 Hoyt Ln, Manteca, CA, 95201-2009
Phone Number
209-982-5159
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CCS00005F 05 CA
institution
Provider Business Practice Location Address Details
Address
1810 Hoyt Ln
City
Manteca
State
California
Zip
95336-6354
Phone Number
209-982-5159
Fax Number
person
Provider Business Mailing Address Details
Address
1810 Hoyt Ln
City
Manteca
State
California
Zip
95336-6354
Phone Number
209-982-5159
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT23512 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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