Jacob Black, DPT
NPI #1023358876 in Winnemucca, Nevada
Provider Information
- NPI Number
- 1023358876
- Entity Type
- Individual
- Name
- Jacob Black, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Feb 14, 2013
- Last Updated
- Jul 22, 2016
Practice Location
- Address
- 325 HANSON ST
- City
- Winnemucca
- State
- Nevada
- ZIP Code
- 89445-3607
- Phone
- (775) 625-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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