Individual
JACOB BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2016 COUNTY ROAD 9, DELTA, OH 43515-9443
(419) 388-1340
Mailing address
2016 COUNTY ROAD 9, DELTA, OH 43515-9443
(419) 388-1340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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