Individual
JACOB CHRISTOPHER BURGGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7409 NE HAZEL DELL AVE STE 112, VANCOUVER, WA 98665-8337
(360) 597-4048
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61335329
WA
Other
Enumeration date
09/06/2022
Last updated
03/01/2023
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