Edward Thomas Jellen in Stockton - Physical Therapist
Edward Thomas Jellen - NPI 1609097518
Edward Thomas Jellen is a Physical Therapist in Stockton, California. Edward Thomas Jellen practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Edward Thomas Jellen is 1609097518. The last update date is 2007-07-08.
Edward Thomas Jellen's current location address is 3326 Mount Reba Ct, Stockton, California. You can contact this provider via phone number 2099520296. The mailing address for Edward Thomas Jellen is 3326 Mount Reba Ct, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Thomas Jellen |
|---|---|
| Address | 3326 Mount Reba Ct, Stockton, California |
| Phone Number | 2099520296 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1609097518 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3326 Mount Reba Ct |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952123105 |
| Phone Number | 2099520296 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT 22111 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the Edward Thomas Jellen's 1609097518?
The Edward Thomas Jellen's NPI (National Provider Identifier) Number is 1609097518. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Edward Thomas Jellen is physically located?
The Edward Thomas Jellen is physically situated at the following address: 3326 Mount Reba Ct, Stockton, CA, 952123105.
What is Edward Thomas Jellen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward Thomas Jellen is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Edward Thomas Jellen receive the assignment of its 1609097518 from the Centers for Medicare & Medicaid Services?
The Edward Thomas Jellen was issued its 1609097518 by the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the information pertaining to Edward Thomas Jellen most recently updated or revised?
The details related to Edward Thomas Jellen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.