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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497754832 | NPPES |
| California | Other | 20566 | STATE LICENSE |
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