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

PETER JOHN JACQUES

Active Organization

PETER JOHN JACQUES is a Physical Therapy Assistant organization located in APPLETON, Wisconsin. NPI 1952597486 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · APPLETON, WI

Registration Details

NPI Number
1952597486
Provider Type
Organization
NPI Issued
Sep 18, 2007 (18.888106306235 yrs)
Last Updated
Jan 30, 2013
License
3448024 (WI)

Practice Information

Address
W4652 GLENN ST
APPLETON, WI, 549139563
Browse WI providers · Browse ZIP 54913
Phone
9205408840
Fax
8668781996
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.