Individual
KIM LEWIS ALLDREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 H ST STE C-1, MODESTO, CA 95354-1221
(209) 846-8282
Mailing address
20664 GOLF CANYON CT, PATTERSON, CA 95363-8909
(209) 404-3753
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10811
CA
2251X0800X
Orthopedic Physical Therapist
PT10811
CA
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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