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Individual

MRS. KATHRYN ELIZABETH JACQUES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8132
Mailing address
4201 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5914
(907) 729-3300

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PHYP2898
AK

Other

Enumeration date
03/03/2009
Last updated
08/20/2015
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