Individual
DR. JACOB MCCROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CMTPT
Contact information
Practice address
4554 VIRGINIA BEACH BLVD STE 970, VA BEACH, VA 23462-3047
(757) 742-3778
Mailing address
2247 W GREAT NECK RD STE 101, VA BEACH, VA 23451-1556
(757) 742-3787
(757) 585-3787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206470
VA
Other
Enumeration date
10/14/2014
Last updated
10/06/2021
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