Individual
JOHN BOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
10200 TRINITY PKWY, SUITE 205, STOCKTON, CA 95219-7286
(209) 451-3920
(209) 451-3902
Mailing address
534 E PINE ST, SUITE A, STOCKTON, CA 95204-5536
(209) 463-5800
(209) 463-5900
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
23523
CA
Other
Enumeration date
10/25/2006
Last updated
05/08/2017
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