Jacob Charles Thomas Valid NPI
Individual provider · Physical Therapist · Harrah, OK
- NPI
- 1912504333
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 5890 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-08
Practice location
19629 Ne 23rd St
Harrah, OK 73045-9305
(405) 454-0010