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Individual

MRS. JACQUELINE ANNETTE BAHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2801 W 6TH ST, WILMINGTON, DE 19805
(302) 655-6135
Mailing address
215 FENWICK AVE, WILMINGTON, DE 19804-3615
(302) 650-8908

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160007636
IL
225200000X
Physical Therapy Assistant
Primary
J2-0001195
DE
225200000X
Physical Therapy Assistant
TE011492
PA

Other

Enumeration date
02/11/2019
Last updated
02/11/2019
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