Individual
JACOB ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11 VAUGHNS GAP RD, NASHVILLE, TN 37205-4303
(618) 988-4550
Mailing address
5800 RIVER RD APT 307, NASHVILLE, TN 37209-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021160
OH
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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