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Dr. Jesse Russell Modica, PT,DPT,MS
Orthopedic Physical Therapist in San Rafael, California
NPI 1700043221

Jesse Russell Modica is a Orthopedic Physical Therapist based in San Rafael, CA and is specialized in Orthopedic. Jesse Russell Modica practices in San Rafael, CA and has the professional credentials of PT,DPT,MS. The NPI Number for Jesse Russell Modica is 1700043221 and holds a License No. 33875 (California).

The current practice location address for Jesse Russell Modica is 165 N Redwood Dr, San Rafael, CA and can be reached out via phone at 415-499-0278.

Location: 165 N Redwood Dr, San Rafael, CA, 94903-1969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700043221
Provider Name
Jesse Russell Modica
Credential
PT,DPT,MS
Provider Entity Type
Individual
Gender
Male
Address
165 N Redwood Dr, San Rafael, CA, 94903-1969
Phone Number
415-499-0278
Fax Number
Provider Enumeration Date
05/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
165 N Redwood Dr
City
San Rafael
State
California
Zip
94903-1969
Phone Number
415-499-0278
Fax Number
person
Provider Business Mailing Address Details
Address
165 N Redwood Dr
City
San Rafael
State
California
Zip
94903-1969
Phone Number
415-499-0278
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
33875 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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