Individual
JACOB RANDEL GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13559 NW 1ST LN, NEWBERRY, FL 32669-3473
(325) 558-3189
Mailing address
13559 NW 1ST LN, NEWBERRY, FL 32669-3473
(352) 558-3189
(352) 226-8744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29237
FL
Other
Enumeration date
08/16/2021
Last updated
10/31/2023
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