Individual
RYAN JEREMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 S LOWER SACRAMENTO RD, LODI, CA 95242-3635
(209) 712-9737
Mailing address
412 PARK ST, LODI, CA 95240-5210
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
303174
CA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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