Individual provider · Type 1 NPI

Marque D. Modica

Rehabilitation Practitioner · Stockton, CA

NPI number 1639090061 Active

Practice location

4342 Blake Cir
Stockton, CA 95206-6515

Call (925) 766-6256 Map

Mailing address

4134 Giselle Ln
Stockton, CA 95206-6508

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1639090061

Marque D. Modica's National Provider Identifier is 1639090061, issued on Jul 22, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Stockton, CA. The record was last updated on Jul 22, 2026.