Individual
JEFFREY SCOTT PRIDGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 TRANCAS ST, NAPA, CA 94558-3014
(707) 255-6060
Mailing address
2200 COLONIAL CT, DISCOVERY BAY, CA 94505-9216
(925) 642-1927
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51185
CA
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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