MISS Pamela R Jacques, PTA

NPI #1508115544 in St Pete Beach, Florida

Provider Information

NPI Number
1508115544
Entity Type
Individual
Name
MISS Pamela R Jacques, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 6, 2012
Last Updated
Sep 19, 2012

Practice Location

Address
8701 BLIND PASS RD
Address 2
305B
State
Florida
ZIP Code
33706-1465
Phone
(727) 360-0392

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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