Individual
JACOB RICHARD VANHOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1187 N MECKLENBURG AVE, LA CROSSE, VA 23950-1768
(434) 447-3322
Mailing address
117 BROOKSIDE LN, SOUTH HILL, VA 23970-2426
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
05/29/2025
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