Peter John Jacques

NPI #1952597486 in Appleton, Wisconsin

Provider Information

NPI Number
1952597486
Entity Type
Organization
Organization Name
Peter John Jacques
Primary Specialty
Physical Therapist
Enumeration Date
Sep 18, 2007
Last Updated
Jan 30, 2013

Practice Location

Address
W4652 GLENN ST
ZIP Code
54913-9563
Phone
(920) 540-8840

Authorized Official

Name
MR. PETER JOHN JACQUES, PT
Title
OWNER CEO
Phone
(920) 540-8840

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Physical Therapist

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