Individual
JACOB DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2520 SAND MINE RD, DAVENPORT, FL 33897-3402
(407) 910-2941
Mailing address
221 ELBERTON DR, DAVENPORT, FL 33897-4632
(267) 733-8431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28666
FL
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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