Carol Jo Tichenor
Physical Therapist - Orthopedic
3555 Whipple Rd
Union City
, California 94587-1507
Carol Jo Tichenor
Physical Therapist - Orthopedic
3555 Whipple Rd
Union City
, California 94587-1507
(510) 675-3241
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Carol Jo Tichenor
- 11478 Cull Canyon Rd
- Castro Valley, CA
- Zip : 94552-9525
- Fax : (510) 675-3241
- Phone : (510) 675-4259
Second Address
- Carol Jo Tichenor
- 3555 Whipple Rd
- Union City, CA
- Zip : 94587-1507
- Fax : (510) 675-3241
- Phone : (510) 675-4259
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT77875 | CA |
National Provider Identifier
| NPI | 1043388663 |
|---|---|
| Provider Name | Carol Jo Tichenor |
| First Address | Castro Valley, CA 94552-9525 |
| Second Address | Union City, CA 94587-1507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.