Provider Demographics
NPI:1760694491
Name:DOIDGE, JACQUELINE DAWN (PT)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:DAWN
Last Name:DOIDGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3218 E LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3203
Mailing Address - Country:US
Mailing Address - Phone:520-325-4076
Mailing Address - Fax:
Practice Address - Street 1:2472N. PANTANO RD.
Practice Address - Street 2:ULTIMATE TREATMENT ZONE PHYSICAL THERAPY, LLC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-2602
Practice Address - Country:US
Practice Address - Phone:520-722-1795
Practice Address - Fax:520-722-1045
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ32092251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic