| Doctor Name: | JIM JIRO EDDOW |
| NPI Number: | 1578547683 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | PT29126 |
| Business Practice Address: | 10020 Indiana Ave Ste 4 Riverside, CA - 925035477 |
| Business Phone Number: | 9516372320 |
| Business Fax Number: | 9516372321 |
| Mailing Address: | 24630 Washington Ave, Ste 200 MURRIETA |
| State: | CA |
| Postal Code: | 925626177 |
| Phone Number: | 9516969353 |
| Fax Number: | 9519737216 |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 09/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT29126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |