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Individual
DR. JACOB HERBERGER
Active
Individual
DR. JACOB HERBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070025148
IL
2255A2300X
Athletic Trainer
096004379
IL
Other
Enumeration date
10/19/2015
Last updated
03/29/2024
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