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NPI Code Detail

MEDICARE: DOUGLAS EIDSON JONES PT

MEDICARE: DOUGLAS EIDSON JONES PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT9503CA

General Provider Information

NPI Number : 1073881652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS EIDSON JONES PT
Provider Business Mailing Address
First Line : 825 JONES RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6124
Country : US
Telephone Number : 530-673-0567
Fax Number : 530-673-3026
Provider Business Practice Location Address
First Line : 825 JONES RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6124
Country : US
Telephone Number : 530-673-0567
Fax Number : 530-673-3026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2011
Last Update Date : 12/09/2011

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Directions to “ DOUGLAS EIDSON JONES PT” Practice Location

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