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Individual

ERIK JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA, BS

Contact information

Practice address
825 WHITING AVE, STEVENS POINT, WI 54481-5246
(715) 346-1375
Mailing address
825 WHITING AVE, STEVENS POINT, WI 54481-5246

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1494-19
WI

Other

Enumeration date
11/21/2016
Last updated
11/21/2016
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