Individual
MRS. ANNA JUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
896
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
896
PT LICENSE NUMBER
TN
Enumeration date
08/11/2009
Last updated
08/18/2009
Update your record
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