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Individual

JACOB KRAMELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
4002 EXECUTIVE PARK BLVD STE 800, SOUTHPORT, NC 28461-9069
(910) 477-6236
Mailing address
6590 COWIE RD, WYOMING, NY 14591-9560

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P22544
NC

Other

Enumeration date
10/16/2023
Last updated
11/01/2023
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