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MR. VICTOR LELAND EPPERSON PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1902140361
Individual Registrant:MR. VICTOR LELAND EPPERSON PTA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
320 N CRAWFORD ST WILLOWS, CA 95988-2326 US
Tel: 530-934-2834 Fax: 530-934-4624
Tel: 530-934-2834 Fax: 530-934-4624
Contact information for business:
320 N CRAWFORD ST WILLOWS, CA 95988-2326 US
Tel: 530-934-2834 Fax: 530-934-4624
Tel: 530-934-2834 Fax: 530-934-4624
Registration Information:
NPI: 1902140361
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | CA | AT 2825 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
