Individual
PAUL JAMES KIDGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1375 BLOSSOM HILL RD STE 33, SAN JOSE, CA 95118-3825
(408) 784-7167
Mailing address
3121 LOMA VERDE DR APT 28, SAN JOSE, CA 95117-3834
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-
OUTPATIENT PHYSICAL THERAPY
—
Enumeration date
02/08/2018
Last updated
02/08/2018
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