Provider Demographics
NPI:1992824858
Name:JAUIGUE, JEFFREY POZON (PT)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:POZON
Last Name:JAUIGUE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 EMERITUS ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-2525
Mailing Address - Country:US
Mailing Address - Phone:802-558-4667
Mailing Address - Fax:
Practice Address - Street 1:3 EMERITUS ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-2525
Practice Address - Country:US
Practice Address - Phone:802-558-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-0002611225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist