Jacob Beverly
Physical Therapy Assistant in Delta, OH. Individual provider (NPI-1).
NPI number1871069120
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1871069120
- Entity type
- Individual (NPI-1)
- Name
- Jacob Beverly
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2018
- Last updated
- Oct 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
2016 County Road 9Delta, OH 43515-9443
Phone 419-388-1340
Mailing address
2016 County Road 9Delta, OH 43515-9443
Phone 419-388-1340
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