Individual
JACK L EMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1020D MCCOURTNEY RD, GRASS VALLEY, CA 95949-7400
(530) 274-8720
Mailing address
14820 ECHO RIDGE DR, NEVADA CITY, CA 95959-9633
(530) 265-2741
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
16709
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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