Individual
JACOB HENRY JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2000 BRABHAM AVE STE 100, JACKSONVILLE, NC 28546-0202
(910) 332-3800
Mailing address
10474 SANTA MONICA BLVD STE 435, LOS ANGELES, CA 90025-6932
(310) 275-4137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
297641
CA
225100000X
Physical Therapist
Primary
P21096
NC
Other
Enumeration date
11/06/2019
Last updated
03/10/2022
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