Individual
JACOB ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2585 W MCANDREWS RD, MEDFORD, OR 97501-2244
(541) 500-7474
(458) 658-5552
Mailing address
2585 W MCANDREWS RD, MEDFORD, OR 97501-2244
(541) 500-7474
(458) 658-5552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61434
OR
Other
Enumeration date
08/11/2014
Last updated
11/14/2024
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