Individual
HEATHER JEAN JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S MAIN ST, MILPITAS, CA 95035-6756
(408) 957-5718
(408) 946-5476
Mailing address
5050 JARVIS AVE, SAN JOSE, CA 95118-2428
(408) 267-7104
(408) 946-5476
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6008
CA
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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