Individual
JACOB JOSEPH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2260 W EL CAMINO REAL APT 1321, MOUNTAIN VIEW, CA 94040-6247
(775) 722-8588
Mailing address
2260 W EL CAMINO REAL APT 1321, MOUNTAIN VIEW, CA 94040-6247
(775) 722-8588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53800
CA
225200000X
Physical Therapy Assistant
A-1381
NV
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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