Individual
JACOB ROMBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
751 W 2ND ST, PERU, IN 46970-1384
(765) 919-4444
(574) 753-1589
Mailing address
751 W 2ND ST, PERU, IN 46970-1384
(765) 919-4444
(574) 753-1589
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005234A
IN
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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