Individual
JAKE GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA,
Contact information
Practice address
808 ADAMS AVE, HUNTINGTON BEACH, CA 92648-5488
(714) 369-9328
Mailing address
8941 ATLANTA AVE, 355, HUNTINGTON BEACH, CA 92646
(714) 369-9328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48099
CA
Other
Enumeration date
07/02/2016
Last updated
12/15/2017
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