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Individual

JA'QUAN DOLLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
236 PAVIN CT, NEWARK, DE 19702-2393
(302) 415-1528
Mailing address
236 PAVIN CT, NEWARK, DE 19702-2393
(302) 415-1528

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/16/2024
Last updated
09/16/2024
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