Jacob Lee Mundy

NPI #1154095578 in Jasper, Indiana

Provider Information

NPI Number: 1154095578
Entity Type: Individual
Name: Jacob Lee Mundy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 9, 2021
Last Updated: Aug 9, 2021

Practice Location

Address: 1900 SAINT CHARLES ST
City: Jasper
State: Indiana
ZIP Code: 47546-9145
Phone: (812) 639-9216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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