Heather Jean Jaques

NPI #1184732646 in Milpitas, California

Provider Information

NPI Number: 1184732646
Entity Type: Individual
Name: Heather Jean Jaques
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1717 S MAIN ST
City: Milpitas
State: California
ZIP Code: 95035-6756
Phone: (408) 957-5718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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