Jacqueline Addison Waldrop, PTA

NPI #1841979770 in Metropolis, Illinois

Provider Information

NPI Number: 1841979770
Entity Type: Individual
Name: Jacqueline Addison Waldrop, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 4312 WHIPPORWILL LN
City: Metropolis
State: Illinois
ZIP Code: 62960-3906
Phone: (270) 331-3998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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