Modica, Jesse Russell

Modica, Jesse Russell is an individual health care provider with primary practice located at 165 N Redwood Dr Suite 120, San Rafael CA 94903-1969. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Modica, Jesse Russell can be contacted via phone (415) 499-0278.

Contact Information

Primary practice address
165 N Redwood Dr Suite 120 San Rafael CA 94903-1969
Phone: (415) 499-0278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 33875 California

Profile Details

NPI number 1700043221
LBN Legal business name Modica, Jesse Russell
Credentials P.T., D.P.T., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Apr 10th, 2020 - about 4 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.

Request for update

Popular Providers