Female

Jacqueline D. Truong PT, DPT, OCS

Physical Therapist in Gulfport, MS(View on Map)

Full Name

Jacqueline Dang Truong PT, DPT, OCS

NPI Number

1013372283

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/15/2015

Specialties

(Taxonomies)

Code

225100000X
2251X0800X

Primary Taxonomy

Yes
No

Licenses

State

California
Mississippi
Texas

License Number

42831
7648
1290020

Contact
Information

Purpose

Mailing
Location

Address

42465 HIGHWAY 195
15476B DEDEAUX RD

City

Haleyville
Gulfport

State

AL
MS

Postal Code

35565-7052
39503-2637

Country

US
US

Telephone Number

(256) 350-1764
(228) 539-3232

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

Jacqueline.truong@atipt.com

Endpoint Description

e-mail

Use

Direct

Content Type

Other

Other Description:
n/a

Affiliation

N

Endpoint Location

12315 Judson Rd Ste 310&312Live Oak, TX782333277US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/30/2024

Provider Address

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