Individual
JACOB HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(800) 334-1919
Mailing address
11623 ARBOR ST, OMAHA, NE 68144-2981
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005098
IA
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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