Organization · Type 2 NPI
San Joaquin County CCS
Pediatric Physical Therapist · Tracy, CA
Practice location
1616 Chester Dr
Tracy, CA 95376-2928
Mailing address
PO Box 2009
Stockton, CA 95201-2009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | None listed |
Pediatric Physical Therapist: 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 th…
About NPI 1689769986
San Joaquin County CCS's National Provider Identifier is 1689769986, issued on Oct 3, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Tracy, CA. The record was last updated on Aug 22, 2020.