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Jacqueline Macias, PTA

Physical Therapy Assistant in Mechanicsville, VA. Individual provider (NPI-1).

NPI number1124874789
StatusActive
Last updated in NPPESApr 25, 2024

Details

NPI
1124874789
Entity type
Individual (NPI-1)
Name
Jacqueline Macias
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 25, 2024
Certification date
Apr 25, 2024
Last updated
Apr 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306606517VAYes

Practice location

8227 Meadowbridge Rd
Mechanicsville, VA 23116-2322

Phone 804-767-3092

Mailing address

8227 Meadowbridge Rd
Mechanicsville, VA 23116-2322

Phone 804-767-3092

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