Jacob Gross

NPI #1063138337 in Stanford, Kentucky

Provider Information

NPI Number: 1063138337
Entity Type: Individual
Name: Jacob Gross
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 18, 2022
Last Updated: Oct 18, 2022

Practice Location

Address: 105 HARMON HTS
City: Stanford
State: Kentucky
ZIP Code: 40484-1111
Phone: (606) 369-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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