Individual
JAKE ALAN PIISPANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2646 PATTERSON RD STE A, GRAND JUNCTION, CO 81506-1941
(970) 241-5585
Mailing address
2646 PATTERSON RD STE A, GRAND JUNCTION, CO 81506-1941
(970) 241-5585
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT.0001194
CO
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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