Ian James Bacolod, P.T.
NPI #1093066532 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1093066532
- Entity Type
- Individual
- Name
- Ian James Bacolod, P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Sep 24, 2012
- Last Updated
- Sep 24, 2012
Practice Location
- Address
- 139 N CAPISTRANO DR
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-6179
- Phone
- (573) 893-6706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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