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NPI Code Detail

MEDICARE: JBJC INC.

MEDICARE: JBJC INC.
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
1225X00000XOccupational Therapist
2261QP2000XPhysical Therapy Clinic/Center2403966CA

General Provider Information

NPI Number : 1417037946
Entity Type Code : Organization
Provider Name (Legal Business Name) : JBJC INC.
Provider Business Mailing Address
First Line : PO BOX 200880
Second Line :
City : DALLAS
State : TX
Zip : 75320-0880
Country : US
Telephone Number : 678-837-7176
Fax Number : 404-777-1311
Provider Business Practice Location Address
First Line : 534 E PINE ST
Second Line : SUITE A
City : STOCKTON
State : CA
Zip : 95204-5536
Country : US
Telephone Number : 209-463-5800
Fax Number : 209-463-5900
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : MR. JACK JONES
Credential :
Telephone Number : 678-837-7176
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/20/2023

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Directions to “JBJC INC. ” Practice Location

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