Jacob John Agbuis, PTA

NPI #1043941453 in Mt Pleasant, Wisconsin

Provider Information

NPI Number: 1043941453
Entity Type: Individual
Name: Jacob John Agbuis, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 17, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 13203 GLOBE DR STE 111
City: Mt Pleasant
State: Wisconsin
ZIP Code: 53177-1616
Phone: (262) 287-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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