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NPI Code Detail

MEDICARE: JADRIANE C OWENS DPT

MEDICARE: JADRIANE C OWENS 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 Therapist

General Provider Information

NPI Number : 1689112179
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADRIANE C OWENS DPT
Provider Business Mailing Address
First Line : 3760 CONVOY ST STE 101
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-3743
Country : US
Telephone Number : 888-208-8526
Fax Number : 858-751-0901
Provider Business Practice Location Address
First Line : 585 SATURN BLVD STE A
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-4721
Country : US
Telephone Number : 619-591-1190
Fax Number : 619-565-1656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2017
Last Update Date : 04/09/2018

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Directions to “ JADRIANE C OWENS DPT” Practice Location

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