Anthony B Jacobs, PTA
Physical Therapy Assistant in Ontario, CA. Individual provider (NPI-1).
NPI number1114656246
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1114656246
- Entity type
- Individual (NPI-1)
- Name
- Mr. Anthony B Jacobs
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 50823 | CA | Yes |
Practice location
732 Hollowell StOntario, CA 91762-3306
Phone 909-437-9767
Mailing address
732 Hollowell StOntario, CA 91762-3306
Phone 909-437-9767
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All 13 Physical Therapy Assistant providers in Ontario · All 6,249 providers in Ontario
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