Individual
JAKE RAYMOND THEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2400 N PLEASANTBURG DR STE D, GREENVILLE, SC 29609-2706
(864) 535-5002
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
10/11/2023
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