Individual
JACOB ALLEN DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS, CERT. DN
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT015356
GA
2251X0800X
Orthopedic Physical Therapist
Primary
PT015356
GA
Other
Enumeration date
05/27/2021
Last updated
05/12/2026
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