Organization · Type 2 NPI
San Joaquin County CCS
Pediatric Physical Therapist · Lodi, CA
Practice location
825 W Lockeford St
Lodi, CA 95240-1633
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…
Another provider at this address
About NPI 1902991201
San Joaquin County CCS's National Provider Identifier is 1902991201, issued on Oct 3, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Lodi, CA. The record was last updated on Aug 22, 2020.