Mrs. Jacqueline Gomes
Physical Therapist
755 N Lake Dr
Du Quoin
, Illinois 62832-2451
Mrs. Jacqueline Gomes
Physical Therapist
755 N Lake Dr
Du Quoin
, Illinois 62832-2451
(618) 542-3386
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mrs. Jacqueline Gomes
- 755 N Lake Dr
- Du Quoin, IL
- Zip : 62832-2451
- Fax : (618) 542-3386
- Phone : (618) 542-3386
Second Address
- Mrs. Jacqueline Gomes
- 755 N Lake Dr
- Du Quoin, IL
- Zip : 62832-2451
- Fax : (618) 542-3386
- Phone : (618) 542-3386
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070-008468 | IL |
National Provider Identifier
| NPI | 1003027244 |
|---|---|
| Provider Name | Mrs. Jacqueline Gomes |
| First Address | Du Quoin, IL 62832-2451 |
| Second Address | Du Quoin, IL 62832-2451 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2007 |
| Last Update Date | 15/03/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.