DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDWARD V. JACQUIN, P. T.

Active Sole Proprietor

MR. EDWARD V. JACQUIN, P. T. is a Physical Therapy Assistant healthcare provider located in FENTON, Missouri. NPI 1538317920 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FENTON, MO

Registration Details

NPI Number
1538317920
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2008 (17.976496356892 yrs)
Last Updated
Aug 28, 2008
License
00790 (MO)
Sole Proprietor
Yes

Practice Information

Address
947 WOODWAY DR
FENTON, MO, 630263031
Browse MO providers · Browse ZIP 63026
Phone
6363491768
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FENTON, MO

Name Credential NPI
MR. GARY E. MEIER P.T. 1649223678
EVELYN BARTON PT 1245268499
MARY DAVISSON MARTIN PT 1467480095
MR. GREGORY PETER NICHOLAS MPT 1215046966
MARK W ROSHELL MS PT 1457460107
MRS. STACEY ANN ROSENBAUM PT 1245349992
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.