Doctor Name: | JOLENE MARIE PELOQUIN |
NPI Number: | 1912021809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT26629 |
Business Practice Address: | 39765 Date St Ste 103 Murrieta, CA - 925632005 |
Business Phone Number: | 9518944405 |
Business Fax Number: | 9518944558 |
Mailing Address: | 39765 Date St, Ste 103 MURRIETA |
State: | CA |
Postal Code: | 925632005 |
Phone Number: | 9518944405 |
Fax Number: | 9518944458 |
NPI Enumeration Date: | 03/18/2007 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT26629 |
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 |