Individual
JENNIFER LYNN AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
279 N CENTRAL BLVD, COQUILLE, OR 97423-1241
(541) 396-3341
(541) 396-5093
Mailing address
279 N CENTRAL BLVD, COQUILLE, OR 97423-1241
(541) 396-3341
(541) 396-5093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03013
OR
225100000X
Physical Therapist
32384
CA
Other
Enumeration date
07/06/2009
Last updated
08/26/2013
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