MR. David Lee Jacques, PTA
NPI #1639135593 in Spokane, Washington
Provider Information
- NPI Number
- 1639135593
- Entity Type
- Individual
- Name
- MR. David Lee Jacques, PTA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 711 S COWLEY ST
- City
- Spokane
- State
- Washington
- ZIP Code
- 99202-1330
- Phone
- (509) 456-4769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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