Larsen Dunnicliff Physical Therapy Inc in Stockton - Specialist

Larsen Dunnicliff Physical Therapy Inc - NPI 1093840407

Larsen Dunnicliff Physical Therapy Inc is a Specialist in Stockton, California. Larsen Dunnicliff Physical Therapy Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Larsen Dunnicliff Physical Therapy Inc is 1093840407. The last update date is 2008-11-17.

Larsen Dunnicliff Physical Therapy Inc's current location address is 2087 Grand Canal Blvd, Stockton, California. You can contact this provider via phone number 2094731138 and fax number 2094731891. The mailing address for Larsen Dunnicliff Physical Therapy Inc is 2087 Grand Canal Blvd, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Larsen Dunnicliff Physical Therapy Inc
Address 2087 Grand Canal Blvd, Stockton, California
Phone Number 2094731138
Fax Number 2094731891
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Larsen K Ronald
Credentials P.T.
Telephone Number 2094731138

NPI Number Detail

NPI Number 1093840407
Provider Enumeration Date 2007-02-23
Last Updated Date 2008-11-17

Provider Mailing Address Detail

Address 2087 Grand Canal Blvd
City Stockton
State California (CA)
Post Code 952076651
Phone Number 2094731138
Fax Number 2094731891

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No PT66770
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
650011088 CA RAILROAD MEDICARE
650008773 CA RAILROAD MEDICARE

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FAQs about Larsen Dunnicliff Physical Therapy Inc

What is the unique 10-digit identifier code assigned to Larsen Dunnicliff Physical Therapy Inc by the Centers for Medicare & Medicaid Services?

The Larsen Dunnicliff Physical Therapy Inc has been issued the NPI (National Provider Identifier) 1093840407 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Larsen Dunnicliff Physical Therapy Inc's facilities are geographically located?

The facilities of Larsen Dunnicliff Physical Therapy Inc are physically situated at the following location: 2087 Grand Canal Blvd, Stockton, CA, 952076651.

What is the area of specialization for Larsen Dunnicliff Physical Therapy Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Larsen Dunnicliff Physical Therapy Inc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1093840407 to Larsen Dunnicliff Physical Therapy Inc?

The Centers for Medicare & Medicaid Services originally issued the 1093840407 to Larsen Dunnicliff Physical Therapy Inc on 2007-02-23.

When was the information regarding Larsen Dunnicliff Physical Therapy Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Larsen Dunnicliff Physical Therapy Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-11-17.

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