Individual
JACOB POTRZEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6 PHEASANT LN, HILLSDALE, NY 12529-5410
(518) 672-7312
Mailing address
6 PHEASANT LN, HILLSDALE, NY 12529-5410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
037873-01
NY
2251H1300X
Human Factors Physical Therapist
Primary
22235
MA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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