Jrd Physical Therapy INC

NPI #1255875431 in Los Alamitos, California

Provider Information

NPI Number: 1255875431
Entity Type: Organization
Organization Name: Jrd Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 7, 2016
Last Updated: Dec 7, 2016

Practice Location

Address: 4220 KATELLA AVENUE
City: Los Alamitos
State: California
ZIP Code: 90720-4909
Phone: (562) 342-9994

Authorized Official

Name: JOHN RANDOLPH DAVIES, PT
Title: PRESIDENT
Phone: (562) 355-1550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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