Individual
JACOB PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N 15TH ST, OLEAN, NY 14706
(716) 307-8476
Mailing address
210 N 15TH ST, OLEAN, NY 14706
(716) 307-8476
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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