Individual
JACOB BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2167 KIMBERTON RD, PHOENIXVILLE, PA 19460-4758
(484) 363-3836
Mailing address
244 HARLEY RD, POTTSTOWN, PA 19465-8238
(484) 363-3836
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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