JETHRO PAYNE DE VEGA LA ROSA
NPI 1720422983
Physical Therapy Assistant in Fremont, CA
About Jethro Payne De Vega La Rosa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JETHRO PAYNE DE VEGA LA ROSA (NPI 1720422983) is an individual physical therapy assistant in Fremont, California and active in the NPI registry since April 2013.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jethro Payne La Rosa's NPI number?
The NPI number for Jethro Payne La Rosa is 1720422983. It was assigned to this individual provider in the NPPES registry on April 18, 2013.
Where is Jethro Payne La Rosa located?
Jethro Payne La Rosa practices at 39210 State St Suite 202, Fremont, CA 94538. The listed phone number is (510) 790-9480.
What is Jethro Payne La Rosa's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Jethro Payne La Rosa was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.