# MRS. DENISE COLETTE JEROME

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700961851
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1607 | AK | — |
| 225100000X | Physical Therapist | 63611 | OR | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 05/22/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1972643138 | NPI \# EQUINOX,INC | AK |
| 05 | — | PT1607 | — | AK |