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Individual
JIM JIRO EDDOW
Active
Individual
JIM JIRO EDDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29126
CA
2251X0800X
Orthopedic Physical Therapist
29126
CA
Other
Enumeration date
12/01/2005
Last updated
11/07/2019
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