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Individual
JACOB OLIVAS
Active
Individual
JACOB OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24370
MT
2251N0400X
Neurology Physical Therapist
Primary
PT61544267
WA
Other
Enumeration date
06/19/2022
Last updated
11/21/2024
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