Individual
MR. ANDREW T JACQUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
31 LUPI CT, SUITE 150, PALM COAST, FL 32137-4761
(386) 447-0011
Mailing address
13401 SUTTON PARK DR S, APT #714, JACKSONVILLE, FL 32224-5266
(859) 250-5061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27316
FL
Other
Enumeration date
07/30/2012
Last updated
12/18/2012
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