Individual
JACOB AUGUST BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-2970
Mailing address
221 LABRADOR LN, TOWNSEND, DE 19734-9036
(302) 229-5320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007056
PA
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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