Ettlin, Jodelyn Teofila

Ettlin, Jodelyn Teofila is an sole proprietor health care provider with primary practice located at 6174 State Farm Dr , Rohnert Park CA 94928-2135. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Ettlin, Jodelyn Teofila can be contacted via phone (707) 480-7789.

Contact Information

Primary practice address
6174 State Farm Dr Rohnert Park CA 94928-2135
Phone: (707) 480-7789
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT-9120 California

Profile Details

NPI number 1508284886
LBN Legal business name Ettlin, Jodelyn Teofila
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2014
Last updated Apr 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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