Individual
JACQUELYN EILEEN JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2500 STATE HIGHWAY 121 APT 323, EULESS, TX 76039-6008
(940) 366-9486
Mailing address
2500 STATE HIGHWAY 121 APT 323, EULESS, TX 76039-6008
(940) 366-9486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2152244
TX
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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