Individual
JACQUELINE PAREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 W ANN ARBOR TRL, SUITE 200, PLYMOUTH, MI 48170-1694
(734) 468-0397
Mailing address
6155 ECKHERT RD APT 15201, SAN ANTONIO, TX 78240-3192
(432) 349-4376
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2030302
TX
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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