Individual
JACOB COLIN CLABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
420 DELAWARE ST SE, MAYO 450/MMC 106, MINNEAPOLIS, MN 55455-0341
(612) 273-4155
Mailing address
420 DELAWARE ST SE, MAYO 450/MMC 106, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4239
MN
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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