Individual
MR. JACOB WILLIAM BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4368 SPA DR, UNIT 407, LITTLE RIVER, SC 29566-5004
(843) 650-2213
Mailing address
4368 SPA DR, UNIT 407, LITTLE RIVER, SC 29566-5003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014
SC
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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