Individual
JACOB JEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 S CLARK RD, CEDAR HILL, TX 75104-2750
(972) 291-7877
Mailing address
3605 LE MANS CT, ARLINGTON, TX 76016-2937
(817) 253-5370
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2139333
TX
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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