Individual
MRS. JACQULINE SUZANNE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
901 S LINCOLN RD, ESCANABA, MI 49829-3174
(906) 789-1011
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1689
AK
225100000X
Physical Therapist
Primary
5501011459
MI
Other
Enumeration date
03/21/2007
Last updated
10/29/2018
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