Jacob Brotherton

NPI #1033772900 in Saint Charles, Missouri

Provider Information

NPI Number: 1033772900
Entity Type: Individual
Name: Jacob Brotherton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 17, 2019
Last Updated: Jul 16, 2019

Practice Location

Address: 2053 ZUMBEHL RD
City: Saint Charles
State: Missouri
ZIP Code: 63303-2723
Phone: (636) 940-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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