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NPI Code Detail

MEDICARE: JILLIAN MAE CERDA RAMOS DPT

MEDICARE:   JILLIAN MAE CERDA RAMOS  DPT
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 Therapist293434CA
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1669987640
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN MAE CERDA RAMOS DPT
Provider Business Mailing Address
First Line : PO BOX 558
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94104-0558
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 855 MARINA BAY PKWY STE 290
Second Line :
City : RICHMOND
State : CA
Zip : 94804-6429
Country : US
Telephone Number : 510-984-2112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2017
Last Update Date : 06/20/2025

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Directions to “ JILLIAN MAE CERDA RAMOS DPT” Practice Location

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