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Individual
JARED BRET TIMOTHY DAIGLE
Active
Individual
JARED BRET TIMOTHY DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10503
LA
225100000X
Physical Therapist
Primary
1390568
TX
225100000X
Physical Therapist
LPT-33106
AZ
225100000X
Physical Therapist
PTL.0018179
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174173
—
LA
Enumeration date
07/24/2020
Last updated
04/15/2024
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