MS. Jacqueline M. Sam, DPT

NPI #1023136827 in Walnut, California

Provider Information

NPI Number: 1023136827
Entity Type: Individual
Name: MS. Jacqueline M. Sam, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Mar 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1346 MARQUETTE DR
City: Walnut
State: California
ZIP Code: 91789-1254
Phone: (909) 869-7929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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