Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERILYN V CRISOSTOMO-JAQUE, PT
ActiveJERILYN V CRISOSTOMO-JAQUE, PT is a Physical Therapy Assistant healthcare provider located in TRACY, California. NPI 1184710782 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · TRACY, CA
Registration Details
- NPI Number
- 1184710782
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2006 (19.862697822234 yrs)
- Last Updated
- Jan 3, 2022
- License
-
PT29460 (CA)
Practice Information
- Address
-
612 W 11TH ST STE 109TRACY, CA, 953763858Browse CA providers · Browse ZIP 95376
- Phone
- 2098342314
- Fax
- 2098342176
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in TRACY, CA
| Name | Credential | NPI |
|---|---|---|
| RAUL CARLOS GALVEZ | PT | 1831173343 |
| MRS. LILLIAN CHILGREN ORTIZ-SWITZER | P.T. | 1568425759 |
| VICKY A VALEROZO | P.T. | 1528012606 |
| DANIELLE G MULLER | P.T. | 1902831720 |
| ANTHONY MICHAEL PHILLIPS | D.P.T. | 1639190044 |
| FROSINI GEORGES | P.T. | 1659471506 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.