Doctor Name: | JACQUELINE SUE MAROUN |
NPI Number: | 1053369843 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT13853 |
Business Practice Address: | 24551 Raymond Way, #265 Lake Forest, CA - 92630 |
Business Phone Number: | 9493058200 |
Business Fax Number: | 9493052211 |
Mailing Address: | 22865 Loumont Dr, LAKE FOREST |
State: | CA |
Postal Code: | 926303936 |
Phone Number: | 9493058200 |
Fax Number: | 9493052211 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT13853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |