Jacob Matthew Anderson, DPT

NPI #1184045031 in Rock Island, Illinois

Provider Information

NPI Number: 1184045031
Entity Type: Individual
Name: Jacob Matthew Anderson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 19, 2013
Last Updated: Jun 24, 2014

Practice Location

Address: 767 30TH STREET
City: Rock Island
State: Illinois
ZIP Code: 61201
Phone: (309) 788-7631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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