MR. Edward V. Jacquin, P. T.

NPI #1538317920 in Fenton, Missouri

Provider Information

NPI Number
1538317920
Entity Type
Individual
Name
MR. Edward V. Jacquin, P. T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
P. T.
Enumeration Date
Aug 28, 2008
Last Updated
Aug 28, 2008

Practice Location

Address
947 WOODWAY DR
City
Fenton
ZIP Code
63026-3031
Phone
(636) 349-1768

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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