Individual
JOHN CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WEST HOSPITAL RD., FRENCH CAMP, CA 95231
(209) 468-6937
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
(209) 468-7042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT3034
LICENSE
CA
Enumeration date
04/03/2007
Last updated
07/08/2007
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