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Organization
JRD PHYSICAL THERAPY INC
Active
Organization
JRD PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RANDOLPH DAVIES PT (PRESIDENT)
(562) 355-1550
Entity
Organization
Contact information
Practice address
4220 KATELLA AVENUE, LOS ALAMITOS, CA 90720-4909
(562) 342-9994
Mailing address
4220 KATELLA AVENE., LOS ALAMITOS, CA 90720-4909
(562) 342-9994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12977
CA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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