Individual
JACQULINE O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 KARI LN, APT 1722, GREENVILLE, TX 75402-7200
(903) 408-1886
Mailing address
4006 SHADY OAK DR, OOLTEWAH, TN 37363-7012
(423) 903-5918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2061750
TX
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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