Individual
JACQUELINE A SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
801 POINDEXTER ST STE 219, CHESAPEAKE, VA 23324-2358
(757) 548-0014
(757) 351-1930
Mailing address
PO BOX 412307, BOSTON, MA 02241-6177
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212539
VA
225100000X
Physical Therapist
293957
CA
Other
Enumeration date
11/08/2017
Last updated
06/23/2021
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