| Doctor Name: | JENNIFER LYNN AGUILAR |
| NPI Number: | 1578792099 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 32384 |
| Business Practice Address: | 279 N Central Blvd Coquille, OR - 974231241 |
| Business Phone Number: | 5413963341 |
| Business Fax Number: | 5413965093 |
| Mailing Address: | 279 N Central Blvd, COQUILLE |
| State: | OR |
| Postal Code: | 974231241 |
| Phone Number: | 5413963341 |
| Fax Number: | 5413965093 |
| NPI Enumeration Date: | 07/06/2009 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 32384 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |