Jerry Joseph Hacker, PT, DPT Valid NPI
Individual provider · Physical Therapist · Westlake Village, CA
- NPI
- 1750106241
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 307278 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-11-19
- Last updated
- 2024-11-19
Practice location
30837 E Thousand Oaks Blvd
Westlake Village, CA 91362-4039
(309) 373-2287