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Jacob Gates

Physical Therapist in Birmingham, AL. Individual provider (NPI-1).

NPI number1710431663
StatusActive
Last updated in NPPESAug 9, 2016

Details

NPI
1710431663
Entity type
Individual (NPI-1)
Name
Jacob Gates
Sex
Male
Sole proprietor
No
Enumeration date
Aug 9, 2016
Last updated
Aug 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPTH8084ALYes

Practice location

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660

Phone 205-745-3660 · Fax 205-745-3649

Mailing address

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660

Phone 205-745-3660 · Fax 205-745-3649

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