Individual
MS. JACQUELINE POLLOCK VANMOERKERQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
6TH MEDICAL GROUP, MACDILL AFB, FL 33611
(757) 675-7782
Mailing address
3112 W CHAPIN AVE, TAMPA, FL 33611-2702
(757) 675-7782
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
2305204093
VA
2251X0800X
Orthopedic Physical Therapist
Primary
2305204093
VA
Other
Enumeration date
09/04/2007
Last updated
07/02/2025
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