Jack Nagel

NPI #1073085619 in Chaparral, New Mexico

Provider Information

NPI Number: 1073085619
Entity Type: Individual
Name: Jack Nagel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 20, 2018
Last Updated: Dec 20, 2018

Practice Location

Address: 849 OASIS DR
City: Chaparral
State: New Mexico
ZIP Code: 88081-7531
Phone: (915) 471-3488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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