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Individual

JACOB GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
(205) 745-3660
(205) 745-3649
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
(205) 745-3660
(205) 745-3649

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8084
AL

Other

Enumeration date
08/09/2016
Last updated
08/09/2016
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