Individual
JACOB JOHN FLINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 E 12TH ST, COZAD, NE 69130-1505
(308) 784-2231
Mailing address
300 E 12TH ST, COZAD, NE 69130-1505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1061
NE
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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