Individual
MR. GEORGE RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
900 N CHURCH ST, LODI, CA 95240-1282
(209) 333-1222
Mailing address
9404 LEMBERT DOME CIR, STOCKTON, CA 95212-3219
(209) 696-0554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49316
CA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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