Jacqueline Guidice, PT, DPT
Physical Therapist in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1619708583
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1619708583
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Guidice
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2024
- Certification date
- Aug 6, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 052727 | NY | Yes |
Practice location
3385 Veterans Memorial HwyRonkonkoma, NY 11779-7660
Phone 631-676-3111
Mailing address
3385 Veterans Memorial HwyRonkonkoma, NY 11779-7660
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All 33 Physical Therapist providers in Ronkonkoma · All 866 providers in Ronkonkoma
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