Individual
JACOB COVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
535 HWY 314 SW, LOS LUNAS, NM 87031-9600
(505) 866-0055
Mailing address
5300 COLLEGE HEIGHTS DR NW, ALBUQUERQUE, NM 87120-2366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6060
NM
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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