Jacob Dewulf
Physical Therapist in Kennewick, WA. Individual provider (NPI-1).
NPI number1295465425
StatusActive
Last updated in NPPESJun 11, 2022
Details
- NPI
- 1295465425
- Entity type
- Individual (NPI-1)
- Name
- Jacob Dewulf
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2022
- Certification date
- Jun 11, 2022
- Last updated
- Jun 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
4303 W 24th Ave # BKennewick, WA 99338-1963
Phone 509-572-3836
Mailing address
1200 Corporate Dr Ste 400Hoover, AL 35242-5424
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All 96 Physical Therapist providers in Kennewick · All 2,986 providers in Kennewick
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