SearchCalifornia225100000X

Edward Jellen, PT

NPI 1609097518 · on the registry since 2007

Practice

Address
2357 W. March Lane
Stockton, CA 95207
Phone
(209) 951-6037
Fax
(209) 951-7251

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California