Pine Street Physical & Occupational Therapy
LBN: Jbjc Inc.
Pine Street Physical & Occupational Therapy is an health care organization with primary practice located at 525 S Fairmont Ave Suite G, Lodi CA 95240-3860. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Jbjc Inc. can be contacted via phone (209) 339-1690, or through Bob, John K via phone (209) 451-3920.
Contact Information
Primary practice address
525 S Fairmont Ave Suite G
Lodi CA 95240-3860
Phone: (209) 339-1690
Fax: (209) 339-1693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X |
Profile Details
| NPI number | 1669873782 |
|---|---|
| LBN Legal business name | Jbjc Inc. |
| DBA Doing business as | Pine Street Physical & Occupational Therapy |
| Authorized official | Bob, John K DPT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2014 |
| Last updated | Sep 8th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669873782 | NPPES |
| California | Other | ZZZ23015Z | PROVIDER (PTAN) |
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