Individual
JACOB BENNETT TINGOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9405 BRYANT FARMS RD, CHARLOTTE, NC 28277-1642
(908) 207-2707
Mailing address
1429 BRYANT ST STE A, CHARLOTTE, NC 28208-5201
(704) 919-0867
(704) 817-8579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P24733
NC
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
02/11/2026
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