Larsen Dunnicliff Physical Therapy Inc
LBN: Larsen Dunnicliff Physical Therapy Inc
Larsen Dunnicliff Physical Therapy Inc is an health care organization with primary practice located at 2087 Grand Canal Blvd Suite 17, Stockton CA 95207-6651. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Larsen Dunnicliff Physical Therapy Inc can be contacted via phone (209) 473-1138, or through Larsen, Ronald K via phone (209) 473-1138.
Contact Information
Primary practice address
2087 Grand Canal Blvd Suite 17
Stockton CA 95207-6651
Phone: (209) 473-1138
Fax: (209) 473-1891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT66770 | California |
| Other Service Providers / Specialist | 174400000X | PT86420 | California |
Profile Details
| NPI number | 1093840407 |
|---|---|
| LBN Legal business name | Larsen Dunnicliff Physical Therapy Inc |
| DBA Doing business as | |
| Authorized official | Larsen, Ronald K Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Nov 17th, 2008 - about 17 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 | 1093840407 | NPPES |
| California | Other | 650011088 | RAILROAD MEDICARE |
| California | Other | 650008773 | RAILROAD MEDICARE |
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