Rood, Jacqueline Suzanne

Rood, Jacqueline Suzanne is an sole proprietor health care provider with primary practice located at 1855 Cochran St Ste 109 , Simi Valley CA 93065-2263. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Rood, Jacqueline Suzanne can be contacted via phone (805) 526-2311.

Contact Information

Primary practice address
1855 Cochran St Ste 109 Simi Valley CA 93065-2263
Phone: (805) 526-2311
Fax: (805) 526-6608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT20566 California

Profile Details

NPI number 1497754832
LBN Legal business name Rood, Jacqueline Suzanne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Dec 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497754832 NPPES
California Other 20566 STATE LICENSE

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