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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN JOSEPH JERICIAU, PT

Active Sole Proprietor

MR. JOHN JOSEPH JERICIAU, PT is a Physical Therapy Assistant healthcare provider located in SANTA MONICA, California. NPI 1811038631 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SANTA MONICA, CA

Registration Details

NPI Number
1811038631
Provider Type
Individual
Gender
Male
NPI Issued
Feb 12, 2007 (19.502975093349 yrs)
Last Updated
Jul 8, 2007
License
PT 15475 (CA)
Sole Proprietor
Yes

Practice Information

Address
2629 MAIN ST
110
SANTA MONICA, CA, 904054001
Browse CA providers · Browse ZIP 90405
Phone
3105846625
Fax
3105841459
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SANTA MONICA, CA

Name Credential NPI
MS. JOYCE NISHIMOTO WILKINSON PT 1053395095
MR. JEFFREY LEE BLAKE PT 1407834781
MR. JOHN LOO JOE PT 1386622686
JOHN DRAVILLAS PT, MTC 1386613750
ALISON HANSON PT 1386613677
MICHAEL ALLAN ANDERSEN D.P.T. 1013979434
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.