Individual
JARUPONG JARUKAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
288 E OLIVE RD APT 12A, PENSACOLA, FL 32514-4571
(850) 217-1848
Mailing address
288 E OLIVE RD APT 12A, PENSACOLA, FL 32514-4571
(850) 217-1848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30718
FL
Other
Enumeration date
08/09/2021
Last updated
09/24/2021
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