Individual
JACOB WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12050 HIGHWAY 92 STE 116, WOODSTOCK, GA 30188-4287
(770) 516-3072
(770) 516-6982
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015271
GA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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