Individual
JACOB M. COVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3530 S VAL VISTA DR, GILBERT, AZ 85297-7318
(602) 933-7528
(602) 933-4296
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-33181
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133209
—
AZ
Enumeration date
08/18/2023
Last updated
06/21/2024
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