Individual
MR. BRETT R JANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11216 EL CAPITAN WAY, BALLICO, CA 95303-9738
(209) 678-4584
Mailing address
11216 EL CAPITAN WAY, BALLICO, CA 95303-9738
(209) 678-4584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23749
CA
Other
Enumeration date
12/09/2005
Last updated
09/30/2019
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