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Individual
JENNIFER ANGELA EAGLES
Active
Individual
JENNIFER ANGELA EAGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1210320
TX
225100000X
Physical Therapist
1399
ND
225100000X
Physical Therapist
5781
OR
225100000X
Physical Therapist
7854
MN
225100000X
Physical Therapist
Primary
9758
AZ
225100000X
Physical Therapist
PT 60124585
WA
Other
Enumeration date
02/02/2007
Last updated
10/05/2012
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