Individual
JACQUELINE DANG TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
15476B DEDEAUX RD, GULFPORT, MS 39503-2637
(228) 539-3232
(228) 539-3230
Mailing address
42465 HIGHWAY 195, HALEYVILLE, AL 35565-7052
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
42831
CA
225100000X
Physical Therapist
Primary
7648
MS
2251X0800X
Orthopedic Physical Therapist
1290020
TX
2251X0800X
Orthopedic Physical Therapist
42831
CA
Other
Enumeration date
12/15/2015
Last updated
01/30/2024
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