Individual
JACOB DANIEL PSZANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
203 WELLNESS AND RECREATION CENTER, CEDAR FALLS, IA 50614-0001
(319) 273-2654
Mailing address
1510 FREDRICK AVE, CLEMONS, IA 50051-9637
(641) 485-5654
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
092973
IA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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