Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | ||
Y | 225100000X | Physical Therapist | PT 30357 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT30357 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT30357 | CA |
NPI | 1114948767 |
---|---|
Provider Name | Dr. George James |
First Address | Redlands, CA 92373-8152 |
Second Address | Redlands, CA 92373 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 23/03/2020 |