Jim Jiro Eddow, PT, DPT, OCS
Jim Jiro Eddow, PT, DPT, OCS is a Physical Therapist in Private Practice in Corona, California. Qualified in 2003, 23 years ago. Practices with All Star Physical Therapy, a 150-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 23
- Licensed in
- CA
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
2815 S Main St Ste 205Corona, CA 92882
Phone: (951) 475-1307
Fax: (951) 475-1308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT29126 (CA) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence 29126 (CA) |
Record details
| NPI number | 1578547683 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT , OCS |
| Sole proprietor | No |
| NPI enumerated | December 1, 2005 |
| Last updated in NPPES | November 7, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | All Star Physical Therapy — 150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Corona
-
Byron Omar Reynoso, DPT
1171 Railroad St, Corona, CA 92882-8247 · (951) 272-1400