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Individual

JACOB PAUL TOWERS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
714 AQUIDNECK AVE, MIDDLETOWN, RI 02842-5796
(401) 414-5212
Mailing address
24 CEDAR POND DR APT 5, WARWICK, RI 02886-0847
(401) 808-0882
(401) 808-0882

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01466
RI
2255A2300X
Athletic Trainer
AT00482
RI

Other

Enumeration date
06/23/2017
Last updated
11/19/2025
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