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JUSTIN BICKFORD DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1558781849

Individual Registrant:
 JUSTIN  BICKFORD DPT
Gender: M
Sole Proprietor

Location and contact information for practice:
28126 PEACOCK RIDGE DR APT 314  RANCHO PALOS VERDES, CA 90275-7107 US
Tel: 936-329-2152  Fax: --

Contact information for business:
28126 PEACOCK RIDGE DR APT 314  RANCHO PALOS VERDES, CA 90275-7107 US
Tel: 936-329-2152  Fax: --

Registration Information:
NPI: 1558781849
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
TX1241723
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA40753

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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