Individual
JACOB CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 CROSSINGS BLVD, WARWICK, RI 02886-2878
(800) 777-7000
Mailing address
129 DEAN AVE APT 6307, FRANKLIN, MA 02038-1982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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