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Contact Information

JACQUELINE D TRUONG, PT, DPT, OCS
15476B DEDEAUX RD
GULFPORT, MS39503-2637
 Phone: 228-539-3232
 Fax: 228-539-3230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACQUELINE D TRUONG · (Female)

NPI Number 1013372283
Status Active
Credentials PT, DPT, OCS
Entity Individual
Enumeration date 12/15/2015
Last updated 01/30/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 42831
  • MS License # 7648
  • TX License # 1290020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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