Individual
MR. ANTHONY B JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
732 HOLLOWELL ST, ONTARIO, CA 91762-3306
(909) 437-9767
Mailing address
732 HOLLOWELL ST, ONTARIO, CA 91762-3306
(909) 437-9767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50823
CA
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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