Organization
JBJC INC.
Active
Other names
Pine Street Physical & Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK JONES (AUTHORIZED OFFICIAL)
(678) 837-7176
Entity
Organization
Contact information
Practice address
534 E PINE ST, SUITE A, STOCKTON, CA 95204-5536
(209) 463-5800
(209) 463-5900
Mailing address
PO BOX 200880, DALLAS, TX 75320-0880
(678) 837-7176
(404) 777-1311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
2403966
CA
Other
Enumeration date
10/17/2006
Last updated
07/20/2023
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