Individual
PATRICK GERARD JACOBS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
1227 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 636-1200
Mailing address
1227 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 636-1200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007423
KY
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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