Individual
MR. DAVID LEE JACQUES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 456-4769
Mailing address
1511 S LATAWAH ST, APT # 3, SPOKANE, WA 99203-2252
(509) 456-4769
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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