Individual provider · Type 1 NPI

Jacqueline Memminger, MOT

Specialist · Gainesville, FL

NPI number 1891091732 Active

Practice location

250 NW 76th Dr
Gainesville, FL 32607-6668

Fax (352) 505-6383

Mailing address

5638 Swamp Fox Rd
Jacksonville, FL 32210-7312

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMOT14504 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891091732

Jacqueline Memminger, MOT's National Provider Identifier is 1891091732, issued on Feb 9, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gainesville, FL. The record was last updated on Feb 9, 2011.