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

SOL JOHANNA JAQUE, PTA

Active

SOL JOHANNA JAQUE, PTA is a Occupational Therapist healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1750153615 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LAKE HAVASU CITY, AZ

Registration Details

NPI Number
1750153615
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2023 (2.6180121704684 yrs)
Last Updated
Oct 24, 2023
License
PTA-014722 (AZ)

Practice Information

Address
191 SWANSON AVE STE 102
LAKE HAVASU CITY, AZ, 864036699
Browse AZ providers · Browse ZIP 86403
Phone
9288557880
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LAKE HAVASU CITY, AZ

Name Credential NPI
MRS. LUANA KAY LUNA PTA 1396942421
MONICA ANN SNELL PTA 1275795189
MR. MATTHEW V NOAKE PTA 1194039586
WENDY L MCGUIRE PTA 1790060663
ERIN ROSE GINSBURG PTA 1679840573
KYLEE NUSBAUM PTA 1093082836
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.