Individual
JACOB WILLIAM POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 342-7000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10915
MN
Other
Enumeration date
08/15/2017
Last updated
05/04/2022
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