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Search › Arizona › 225200000X

Sol Jaque, PTA

NPI 1750153615 · on the registry since 2023

Practice

Address
191 Swanson Ave Ste 102
Lake Havasu City, AZ 86403
Phone
(928) 855-7880
Organisation at this address
Agave Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona