Individual
JAKE TABLERION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1367744
TX
Other
Enumeration date
09/13/2022
Last updated
05/16/2025
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