Individual
BRETT JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
99 BETHANY RD, EPHRATA, PA 17522-8637
(717) 738-4940
Mailing address
1731 NORTHVIEW RD, YORK, PA 17406-2449
(717) 332-4040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TEI003436
PA
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/16/2021
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