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Organization

JABBERGYM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA THOMAS BS (CFO)
(916) 771-8255
Entity
Organization

Contact information

Practice address
2115 J ST, SUITE 210, SACRAMENTO, CA 95816-4738
(916) 444-0033
(916) 444-0032
Mailing address
151 N SUNRISE AVE, SUITE 1105, ROSEVILLE, CA 95661-2924
(916) 771-8255
(916) 771-8211

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
2251P0200X
Pediatric Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
Primary
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
08/10/2011
Last updated
08/10/2011
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