Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerilyn V Crisostomo-Jaque, PT

Individual provider Physical Therapist · NPI 1184710782

Jerilyn V Crisostomo-Jaque, PT is a Physical Therapist in Tracy, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

612 W 11th St Ste 109
Tracy, CA 95376-3858
Phone: (209) 834-2314
Fax: (209) 834-2176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT29460 (CA)

Record details

NPI number1184710782
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJanuary 3, 2022

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