Individual
JACOB KYLE WINSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1800 COBURG RD, EUGENE, OR 97401-4995
(541) 342-1632
(541) 345-8763
Mailing address
1292 HIGH ST SUITE 224, EUGENE, OR 97401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62893
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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