Organization
JBJC INC
Active
Other names
Pine Street Physical & Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE A ARNETT (CREDENTIALING MANAGER)
(209) 915-0355
Entity
Organization
Contact information
Practice address
2488 N CALIFORNIA ST, STOCKTON, CA 95204-5508
(209) 463-5800
Mailing address
534 E PINE ST STE A, STOCKTON, CA 95204-5536
(209) 463-5800
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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