Jacob Jezak Valid NPI

Individual provider · Physical Therapy Assistant · Cedar Hill, TX

NPI

1447739701

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

2139333 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2018-08-08

Last updated

2018-08-08