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Organization
JBJC INC
Active
Organization
JBJC INC
Active
Other names
Pine Street Physical & Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BOB (DPT, OWNER, PRESIDENT)
(209) 451-3920
Entity
Organization
Contact information
Practice address
1640 W YOSEMITE AVE, SUITE 1, MANTECA, CA 95337-5192
(209) 463-5800
Mailing address
534 E PINE ST, SUITE A, STOCKTON, CA 95204-5536
(209) 463-5800
(209) 463-5900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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