Individual
JACOB DENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2820 CHAPEL LN, NEW ALBANY, IN 47150-9418
(812) 786-2199
Mailing address
2820 CHAPEL LN, NEW ALBANY, IN 47150-9418
(812) 786-2199
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005395A
IN
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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