Individual
MS. JACQUELINE AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
422 MICHIGAN AVE, SANDUSKY, OH 44870-5768
(330) 268-2801
Mailing address
422 MICHIGAN AVE, SANDUSKY, OH 44870-5768
(330) 268-2801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011842
OH
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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