Individual
MR. JEFF HEPBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
555 LUTHER RD, RED BLUFF, CA 96080-9672
(530) 527-6341
Mailing address
12873 GARDENIA AVE, RED BLUFF, CA 96080-9672
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8898
CA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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