Jake Vicera, PT

NPI #1053683805 in Folsom, California

Provider Information

NPI Number: 1053683805
Entity Type: Individual
Name: Jake Vicera, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 8, 2012
Last Updated: Feb 8, 2012

Practice Location

Address: 1301 E BIDWELL ST
Address 2: STE. 201
City: Folsom
State: California
ZIP Code: 95630-3565
Phone: (916) 983-5915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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